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\r\n\u53cc\u80ce\u8f93\u8840\u7efc\u5408\u5f81\uff08TTTS\uff0cTwin-to-twin transfusion syndrome\uff09\u662f\u4e00\u79cd\u7279\u6b8a\u7684\u53cc\u80ce\u598a\u5a20\u5e76\u53d1\u75c7\u3002\u5f53\u4e24\u4e2a\u80ce\u513f\u5171\u7528\u4e00\u4e2a\u80ce\u76d8\u65f6\uff0c\u901a\u5e38\u80ce\u76d8\u8840\u7ba1\u95f4\u7684\u76f8\u4e92\u543b\u5408\u662f\u5f7c\u6b64\u5e73\u8861\u7684\u3002\u4f46\u5982\u679c\u8fd9\u6837\u7684\u8840\u7ba1\u543b\u5408\u51fa\u73b0\u5f02\u5e38\uff0c\u6bd4\u5982\u5176\u4e2d\u4ee5\u80ce\u513f\u7684\u6df1\u90e8\u52a8\u8109\u548c\u53e6\u4e00\u80ce\u513f\u7684\u9759\u8109\u53d1\u751f\u543b\u5408\uff0c\u90a3\u4e48\u4e00\u4e2a\u80ce\u513f\u7684\u8840\u4fbf\u4f1a\u501f\u52a9\u8fd9\u652f\u5927\u8840\u7ba1\u7684\u543b\u5408\u6e90\u6e90\u4e0d\u65ad\u5730\u8f93\u5165\u53e6\u4e00\u4e2a\u80ce\u513f\u4f53\u5185\u3002\u4f9b\u8840\u80ce\u513f\u7531\u4e8e\u4e0d\u65ad\u5730\u5411\u53d7\u8840\u80ce\u8f93\u8840\uff0c\u5904\u4e8e\u4f4e\u8840\u5bb9\u91cf\u3001\u8d2b\u8840\u72b6\u6001\uff0c\u80ce\u513f\u53d1\u80b2\u8fdf\u7f13\u3001\u5c11\u5c3f\u3001\u7f8a\u6c34\u5c11\uff1b\u53d7\u8840\u80ce\u513f\u5219\u7531\u4e8e\u5904\u4e8e\u9ad8\u8840\u5bb9\u91cf\uff0c\u5c3f\u91cf\u589e\u52a0\u5f15\u8d77\u7f8a\u6c34\u589e\u591a\uff0c\u540c\u65f6\u80ce\u513f\u4e2a\u4f53\u8f83\u5927\uff0c\u5176\u5fc3\u3001\u809d\u3001\u80be\u7b49\u810f\u5668\u589e\u5927\uff0c\u7ea2\u7ec6\u80de\u589e\u591a\uff0c\u7ea2\u7ec6\u80de\u6bd4\u5bb9\u589e\u9ad8\uff0c\u80ce\u513f\u4f1a\u51fa\u73b0\u6c34\u80bf\u3002\u5982\u679c\u4f9b\u8840\u80ce\u513f\u53ca\u5176\u8840\u7ba1\u53d7\u5230\u53d7\u8840\u80ce\u513f\u4e00\u4fa7\u589e\u5927\u7684\u7f8a\u819c\u8154\u7684\u8fc7\u5ea6\u538b\u8feb\uff0c\u5c06\u4f1a\u5bfc\u81f4\u4f9b\u8840\u80ce\u513f\u6b7b\u4ea1\uff0c\u6700\u7ec8\u4e5f\u4f1a\u53d1\u5c55\u6210\u53cc\u80de\u80ce\u4e2d\u7684\u4e00\u4e2a\u201c\u4e0d\u89c1\u4e86\u201d\u3002[7]
\r\n\u5728\u598a\u5a20\u524d3\u6708\u5185\u4e00\u80ce\u6d88\u5931\uff0c\u5269\u4e0b\u7684\u4e00\u4e2a\u6216\u591a\u4e2a\u80ce\u901a\u5e38\u53ef\u4ee5\u6b63\u5e38\u53d1\u80b2\u4e0d\u53d7\u5f71\u54cd\uff0c\u5c3d\u7ba1\u5b55\u5987\u53ef\u80fd\u4f1a\u51fa\u73b0\u5c11\u91cf\u9634\u9053\u51fa\u8840\u3002\u4f46\u598a\u5a203\u6708\u4e4b\u540e\u53d1\u751f\u7684\u53cc\u80ce\u4e4b\u4e00\u6d88\u5931\uff0c\u7531\u4e8e\u6b7b\u80ce\u4f53\u79ef\u8f83\u5927\uff0c\u8eab\u4f53\u96be\u4ee5\u5c06\u5176\u5b8c\u5168\u5904\u7406\uff0c\u4f1a\u4f7f\u6bcd\u4f53\u548c\u80ce\u513f\u53d1\u751f\u5404\u79cd\u5e76\u53d1\u75c7\u7684\u98ce\u9669\u5927\u5927\u589e\u52a0\uff0c\u5305\u62ec\u4f7f\u6bcd\u4f53\u53d1\u751f\u65e9\u4ea7\u3001\u5bab\u8154\u5185\u611f\u67d3\u3001\u4e25\u91cd\u7684\u4ea7\u540e\u51fa\u8840\u3001\u51dd\u8840\u969c\u788d\u548c\u96be\u4ea7\u7b49\u60c5\u51b5[8]\uff0c\u589e\u52a0\u4ed6\uff08\u5979\uff09\u5e78\u5b58\u4e0b\u6765\u7684\u5144\u5f1f\uff08\u59d0\u59b9\uff09\u8111\u762b\u7b49\u8111\u90e8\u635f\u4f24\u7684\u98ce\u9669[6]\uff0c\u4ee5\u53ca\u53d1\u751f\u76ae\u80a4\u574f\u6b7b\u3001\u4f4e\u8840\u538b\u4e43\u81f3\u5bab\u5185\u6b7b\u4ea1\u7b49\u60c5\u51b5[9]\u3002\u56e0\u6b64\uff0c\u6000\u5b55\u4e4b\u540e\u7684\u5b9a\u671fB\u8d85\u68c0\u67e5\u662f\u5341\u5206\u5fc5\u8981\u7684\u3002\u5982\u679c\u5b55\u4e2d\u665a\u671f\u53d1\u751f\u53cc\u80ce\u4e4b\u4e00\u6d88\u5931\u7684\u8bdd\uff0c\u5e94\u8be5\u5bf9\u5b55\u5987\u548c\u80ce\u513f\u8fdb\u884c\u4e25\u5bc6\u7684\u89c2\u5bdf\uff0c\u9884\u9632\u76f8\u5173\u5e76\u53d1\u75c7\u7684\u53d1\u751f\u3002
\r\n\r\n\u7ed3\u8bba\uff1a \u53cc\u80ce\u598a\u5a20\u8fd8\u662f\u76f8\u5bf9\u5c11\u89c1\u7684\uff0c\u53cc\u80ce\u6d88\u5931\u7684\u73b0\u8c61\u4e5f\u786e\u5b9e\u5b58\u5728\u3002\u53cc\u80ce\u6d88\u5931\u7efc\u5408\u5f81\u4e2d\u6d88\u5931\u7684\u4e00\u80ce\u591a\u6709\u57fa\u56e0\u6216\u67d3\u8272\u4f53\u7578\u5f62\uff0c\u5728\u81ea\u7136\u9009\u62e9\u4e2d\u88ab\u6dd8\u6c70\uff0c\u662f\u4e00\u79cd\u81ea\u7136\u4f18\u751f\u73b0\u8c61\u3002\u53cc\u80ce\u8f93\u8840\u7efc\u5408\u5f81\u4e5f\u4f1a\u5bfc\u81f4\u53cc\u80ce\u4e4b\u4e00\u6b7b\u4ea1\uff0c\u6700\u7ec8\u6b7b\u4ea1\u7684\u80ce\u513f\u53ef\u80fd\u4f1a\u5f62\u6210\u7eb8\u6837\u80ce\u800c\u201c\u6d88\u5931\u201d\u3002\u53cc\u80ce\u6d88\u5931\u53d1\u751f\u5728\u598a\u5a20\u65e9\u671f\u5f80\u5f80\u4e0d\u4f1a\u5bf9\u6bcd\u4f53\u548c\u5269\u4e0b\u7684\u80ce\u513f\u6709\u5f71\u54cd\uff0c\u4f46\u5982\u679c\u53d1\u751f\u5728\u598a\u5a203\u4e2a\u6708\u540e\uff0c\u5219\u6709\u53ef\u80fd\u9020\u6210\u6bcd\u4f53\u548c\u80ce\u513f\u7684\u4e25\u91cd\u5e76\u53d1\u75c7\uff0c\u5e94\u5f53\u8c28\u614e\u5904\u7406\u3002
\r\n\r\n\u53c2\u8003\u8d44\u6599\uff1a
\r\n\r\n[1] | \r\n\t\t\tFellman J, Eriksson AW. Statistical analyses of Hellin's law. Twin Res Hum Genet. 2009 Apr;12(2):191-200. | \r\n\t\t
[2] | \r\n\t\t\t(1, 2) Multiple Pregnancy and Birth: Twins, Triplets, and Higher Order Multiples. American Society for Reproductive Medicine, 2004 | \r\n\t\t
[3] | \r\n\t\t\tLandy HJ, Weiner S, Corson SL, et al. The \"vanishing twin\": ultrasonographic assessment of fetal disappearance in the first trimester. Am J Obstet Gynecol. Jul 1986;155(1):14-9. | \r\n\t\t
[4] | \r\n\t\t\tSampson A, de Crespigny LC. Vanishing twins: the frequency of spontaneous fetal reduction of a twin pregnancy. Ultrasound Obstet Gynecol. Mar 1 1992;2(2):107-9. | \r\n\t\t
[5] | \r\n\t\t\tLandy HJ, Keith LG. The vanishing twin: a review. Hum Reprod Update. Mar-Apr 1998;4(2):177-83. | \r\n\t\t
[6] | \r\n\t\t\t(1, 2) Pharoah PO, Adi Y. Consequences of in-utero death in a twin pregnancy. Lancet. 2000 May 6;355(9215):1597-602. | \r\n\t\t
[7] | \r\n\t\t\tBrackley KJ, Kilby MD. Twin-twin transfusion syndrome. Hosp Med. Jun 1999;60(6):419-24. | \r\n\t\t
[8] | \r\n\t\t\tYoshida K, Soma H. Outcome of the surviving cotwin of a fetus papyraceus or of a dead fetus. Acta Genet Med Gemellol (Roma). 1986;35(1-2):91-8. | \r\n\t\t
[9] | \r\n\t\t\tClassen DA. Aplasia cutis congenita associated with fetus papyraceous. Cutis. Aug 1999;64(2):104-6. | \r\n\t\t
[10] | \r\n\t\t\t\u4e50\u6770\u4e3b\u7f16\uff0c\u300a\u5987\u4ea7\u79d1\u5b66\u300b\uff0c\u4eba\u6c11\u536b\u751f\u51fa\u7248\u793e\uff0c2008\u5e74 | \r\n\t\t