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Đã xuất bản: 2025-12-24
Số lượt xem tóm tắt: 8
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DOI: https://doi.org/10.52163/yhc.v66i8.4070
Số xuất bản
Tập 66 VoL.English Version 2
Chuyên mục
Bài báo khoa học
Cách trích dẫn
Thuong, P. T. H., Dat, D. T., & Oanh, N. T. K. (2025). OUTCOMES OF PRENATAL INTERVENTION FOR MONOCHORIONIC DIAMNIOTIC TWIN PREGNANCIES COMPLICATED BY TWIN REVERSED ARTERIAL PERFUSION (TRAP) SEQUENCE IN HA NOI OBSTETRICS AND GYNECOLOGY HOSPITAL. Tạp Chí Y học Cộng đồng, 66(8). https://doi.org/10.52163/yhc.v66i8.4070

OUTCOMES OF PRENATAL INTERVENTION FOR MONOCHORIONIC DIAMNIOTIC TWIN PREGNANCIES COMPLICATED BY TWIN REVERSED ARTERIAL PERFUSION (TRAP) SEQUENCE IN HA NOI OBSTETRICS AND GYNECOLOGY HOSPITAL

Phan Thi Huyen Thuong1,2, Do Tuan Dat1,3, Nguyen Thi Kieu Oanh2
1 Ha Noi Obstetrics and Gynecology Hospital
2 University of Medicine and Pharmacy - Vietnam National University
3 Ha Noi Medical University

Nội dung chính của bài viết

Tóm tắt

Objective: To evaluate of prenatal management outcomes in monochorionic diamniotic twin pregnancies complicated by twin reversed arterial perfusion (TRAP) sequence in Ha Noi Obstetrics and Gynecology Hospital.


Material and Methods: An interventional study combined with longitudinal follow-up was conducted on 15 patients with acardiac twin in TRAP sequence who underwent selective umbilical cord laser photocoagulation, delivered at Hanoi Obstetrics and Gynecology Hospital, and whose neonates were followed for at least six months postpartum from January 2020 to December 2021.


Results: The mean gestational age at intervention was 19.05 ± 3.36 weeks, and the mean operative time was 40.1 ± 9.0 minutes. The intraoperative complication rate was 0%; there were no complications within 24 hours postoperatively, and 26.67% of cases developed complications within 7 days after surgery.


Conclusion: The average gestational age at intervention was approximately 19 weeks, with an average operative time of 40 minutes. The intraoperative complication rate was low.

Chi tiết bài viết

Từ khóa

Twin reversed arterial perfusion (TRAP) sequence, management of TRAP sequence, surgical treatment of TRAP sequence

Tài liệu tham khảo

1. Nguyễn Duy Ánh, et al., Giáo trình Sản phụ khoa: dành cho học viên Sau đại học (Tập 1), Nhà xuất bản Đại học Quốc gia Hà Nội, 2022.
2. Van Gemert, Martin JC, van den Wijngaard, Jeroen PHM, and Vandenbussche, Frank PHA, Twin reversed arterial perfusion sequence is more common than generally accepted, Birth Defects Research Part A: Clinical Molecular Teratology. 103(7), pp. 641-643, 2015.
3. Lewi, Liesbeth, et al., The outcome of twin reversed arterial perfusion sequence diagnosed in the first trimester, American journal of obstetrics gynecology. 203(3), pp. 213. e1-213. e4, 2010.
4. Phan Thị Huyền Thương, Đỗ Tuấn Đạt, Nguyễn Kiều Oanh, Đặc điểm siêu âm của các thai phụ song thai một bánh rau hai buồng ối mắc hội chứng song thai không tim tại Bệnh viện Phụ sản Hà Nội, Tạp chí Phụ sản. Tập 23 (3), 2025, pp. 32 - 36, 2025.
5. van Vugt, John MG and Shulman, Lee P, Prenatal medicine, CRC Press, 2016.
6. Vitucci, Annachiara, et al., Twin reversed arterial perfusion sequence: current treatment options, International journal of women's health, pp. 435-443, 2020.
7. Berg, C, et al., Early vs late intervention in twin reversed arterial perfusion sequence, Ultrasound in Obstetrics Gynecology. 43(1), pp. 60-64, 2014.
8. Hospital., C.S. Mott Children's, Twin Reversed Arterial Perfusion Sequence, University of Michigan Health System, 2016.
9. Steffensen, Thora S, et al., Placental pathology in trap sequence: clinical and pathogenetic implications, Fetal pediatric pathology. 27(1), pp. 13-29, 2008.