태수술에 대한 이해와 구순구개열 환자에서의 적용

• 영문명: Understanding of Fetal Surgery and Application to the Cleft Lip and Palate Patient
• 발행기관: 대한구순구개열학회
• 저자명: 김성민 박정민 명훈 최진영 이종호 정필훈 김명진
• 간행물 정보: 『대한구순구개열학회지』제11권 제2호, 49~58쪽, 전체 10쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2008.12.31

영문 초록

The development of fetal surgery has led to promising options for many congenital malformations, such as congenital diaphragmatic hernia (CDH), obstructive uropathy, twin-to-twin transfusion syndrome (TTTS), and sacrococcygeal teratoma. However, preterm labor (PTL) and premature rupture of membranes continue to be uniquitous risks for both mother and fetus. To reduce maternal morbidity and the risk of prematurity, minimal access techniques were developed and are increasingly employed recently. Lift-threatening diseases as well as severely disabling but not life-threatening conditions are potentially amenable to treatment. Recently, improvement of video-endoscopic technology has boosted the development of operative techniques for feto-endoscopic surgery, which has been demonstrated to be less invasive than the open approach. Fetal surgery for repair of cleft lip and palate, a congenital anomaly which is not life threatening, is inappropriate until such time that the benefits are shown to outweigh the risks of both the procedure itself and preterm delivery. Further animal studies will be needed before intrauterine surgery for humans should be considered. For the better understanding of recent techniques and complications associated with fetal intervention of congenital facial defect patients, we reviewed recent related articles about the current knowledge and new perspectives of experimental fetal fetal surgery in the cleft lip and palate defects.

목차

ABSTRACT

Ⅰ. 서론

Ⅱ. 개방형 태수술(Open fetal surgery)

Ⅲ. 실험동물 및 사람에서의 태아 내시경 수술(Feto-endoscopic surgery in animal models and humans)

Ⅳ. 자궁의 활성도와 태아막의 치유에 태수술이 미치는 영향(Effects of fetal surgery on uterine activity and fetal membrane healing)

Ⅴ. 구순구개열 태아에서 적용 (Application to the cleft lip and palate fetus)

Ⅵ. 고찰 및 결론

참고문헌

키워드

Fetal surgery Fetal endoscopic surgery Animal models Cleft lip and palate Preterm labor (PTL)