Surgery across the belly!Qingdao Women's and Children's Hospital successfully cure urethral stalks to block the fetus

Qilu.com · Lightning News, August 2nd. Recently, the Palace Pediatric Team of Qingdao Women's and Children's Hospital successfully performed a bladder amniocentesis for a lower urethral stalk, which is the first case in the province. The successful treatment of this case marks the level of the hospital's in -house treatment technology reached the leading domestic level.

Ms. Zhao (pseudonym) has been pregnant for more than 6 months, and the birth of new life has made this long -awaited little family happy upgrade. However, when the whole family was immersed in joy, the large -scale color ultrasound reminded the fetus abnormalities: "double -level severe kidney accumulation water, bilateral ureter expansion, increasing bladder, and too little amniotic fluid." Local doctors suggested that they seek more professional teams for treatment.

"The baby has been in my stomach for 6 months, and now I can feel fetal movement every day. As a mother, as long as there is a line of hope, I will try my best to protect him or her." Looking at the baby in my stomach, Ms. Zhao Gentle and firm. In the end, after many inquiries, they went to the outpatient medical treatment of the fetal medical center of Qingdao Women's and Children's Hospital.

After the fetal medical center, Director Zhang Zhi, diagnosed the fetus suffering from lower urethral obstruction. "The lower urethral obstruction is a kind of progressive disease in the palace. Most of them are due to abnormal urethral development in the fetus, which can not be discharged in the body. Disadvantage and dysplasia of the lungs allows the baby to lose the opportunity to cure or even survive after birth. Therefore, in -the -palace intervention treatment must be performed as soon as possible. "

In response to fetal conditions, obstetric centers, fetal medical centers, gynecological ultrasound, pediatric surgery, and anesthesia discipline have been conducted multiple consultations, evaluations, and discussions. Experts believe that the implementation of bladder-amniotic seductivity is the best treatment plan.

"Surgical uses the guidance device in the lower abdomen of the fetus into the drainage tube into the fetus's bladder, so that the urine is continuously drained into the amniotic cavity to achieve the purpose of alleviating the pressure of the fetal kidney and too little amniotic fluid. Effectively reducing pressure in the bladder, improving the internal conditions of the fetus, extending the gestational week, thereby improving the long -term prognosis of the fetus. However, due to the high requirements for the fetal position and puncture site, it is necessary to avoid injury to the abdominal blood vessels and organs. It is also necessary to prevent the drainage tube falling off after the bladder retraction in the later period, which is an ultra -difficult surgery. "Director Xu Qian, the Center of Obstetrics, introduced.

On the day of the operation, the team first increased the space of fetal activity through amniotic fluid irrigation in the amniotic cavity, in order to obtain a good fetal puncture position. During the operation, when the drainage tube was implanted in the fetus, the fetal bladder urine was successfully drained into the amniotic cavity immediately, and the accumulation of water in the bilateral urinary system was significantly relieved. After 5 hours, the operation was successfully completed. After surgery, pregnant mothers and fetuses recovered well and were discharged smoothly. In the future, we will continue to follow the clinic in the fetal medical clinic.

The Qingdao Women's and Children's Hospital has long been committed to the overall and postpartum and postpartum diagnosis and treatment of birth defects for a long time, forming a treatment system with the support of the palace pediatric team as its core and relying on multidisciplinary treatment. In recent years, the team has continuously explored innovation and has carried out a number of new technologies in the treatment of many fetal palaces. The successful development of fetal bladder amniocentesis, indicating that the hospital reached a new high in the treatment technology of fetal medical palace, which not only achieved the "zero" breakthrough in this technology in the province, but also brought hope of treatment for severe fetal birth defect families. Essence