临床儿科杂志 ›› 2023, Vol. 41 ›› Issue (1): 6-10.doi: 10.12372/jcp.2023.22e1573

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儿科专家在胎儿专病多学科诊治中的作用

孙路明, 段涛   

  1. 同济大学附属第一妇婴保健院 上海市母胎医学重点实验室胎儿医学科&产前诊断中心(上海 201204
  • 收稿日期:2022-11-28 出版日期:2023-01-15 发布日期:2023-02-16
  • 基金资助:
    国家重点研发计划(2022YFC2704700);国家重点研发计划(2022YFC2704703)

The role of pediatric specialists in multidisciplinary diagnosis and treatment of fetal diseases

SUN Luming, DUAN Tao   

  1. Department of Fetal Medicine & Prenatal Diagnosis Center, Shanghai Key Laboratory of Maternal-Fetal Medicine, The First Maternal and Infant Health Hospital Affiliated to Tongji University, Shanghai 201204, China
  • Received:2022-11-28 Online:2023-01-15 Published:2023-02-16

摘要:

产前影像学技术、分子遗传诊断技术及宫内治疗技术的快速发展,胎儿医学迎来了新的发展机遇与挑战。为高危胎儿提供精准的产前诊断、遗传咨询、预后评估,在确保孕产妇安全的前提下,围绕患病胎儿及孕妇制定产前-产时-产后一体化全流程的管理方案,可提高患儿出生后的生命质量。文章就儿科专家参与的胎儿结构及发育异常两种多学科诊疗模式进行分析,指出现存的问题并提出推动国内胎儿专病诊疗的高质量发展的建议。

关键词: 胎儿医学, 宫内儿科学, 多学科诊疗

Abstract:

With the development of prenatal imaging, molecular genetic diagnosis and intrauterine therapy, fetal medicine has faced new opportunities and challenges. To provide accurate prenatal diagnosis, genetic counseling and prognosis assessment for high-risk fetuses, and to develop a whole-process management plan of antenatal, perinatal and postnatal integration around sick fetuses and pregnant women on the premise of ensuring the safety of pregnant women, can improve the quality of life of children after birth. This paper analyzed two multidisciplinary diagnosis and treatment modes involving pediatric experts, fetal structure and developmental abnormalities, points out the existing problems and puts forward some suggestions to promote the high-quality development of fetal special disease diagnosis and treatment in China.

Key words: fetal medicine, intrauterine pediatrics, multidisciplinary medical treatment