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首页> 外国专利> METHOD FOR MINIMALLY INVASIVE INTRAUTERINE VESICO-AMNIAL BYPASS GRAFTING FOR DETERMINATION OF RESIDUAL URINE OUTPUT IN FETUS WITH FURTHER AMNIOINFUSION FOR PREVENTION OF LETHAL HYPOPLASIA OF LUNGS

METHOD FOR MINIMALLY INVASIVE INTRAUTERINE VESICO-AMNIAL BYPASS GRAFTING FOR DETERMINATION OF RESIDUAL URINE OUTPUT IN FETUS WITH FURTHER AMNIOINFUSION FOR PREVENTION OF LETHAL HYPOPLASIA OF LUNGS

机译：微创宫内静脉静脉旁路移植物的微创宫内静脉旁路，以确定胎儿残留尿液输出与进一步的氨基灌注预防肺部肺致死性发育不全

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FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely to obstetrics and fetal surgery, and can be used for antenatal correction of the fetus in obstructive uropathy. To do this, under ultrasound control and general anesthesia, a vesico-amnimal shunt is inserted into the fetal bladder and amnioinfusion is performed. The vesico-amnimal shunt is inserted into the amniotic cavity and then into the fetal bladder with an introducer, the obturator is removed, the introducer is fixed in the working position, and the conductor with a stent is inserted into the introducer tube, while the extrusor squeezes the stent into the working area. In this case, the pigtail spiral is wrapped, which ensures its fixation in the organ. Then the introducer is removed, ultrasound monitoring of the fetal heartbeat and blood flow in the umbilical artery is carried out. The next day after the operation, a repeated ultrasound examination is performed: the condition of the fetus, the position of the stent, and the amount of amniotic fluid are assessed. With an amniotic fluid index of more than 3 cm, fetal kidney function is considered sufficient for satisfactory development of the fetal lungs, amnioinfusion is not indicated. The ultrasound examination is repeated after 7 days. If the amniotic fluid index is less than 3 cm, amnioinfusion is performed. Under aseptic conditions, a 0.9% sodium chloride solution in a volume of up to 1 liter is injected into the amniotic cavity. After the manipulation, dynamic ultrasound control is performed over the condition of the fetus and the amount of amniotic fluid. With a repeated decrease in the amount of amniotic fluid - the amniotic fluid index is less than 3 cm, amnioinfusion is performed again. ;EFFECT: ensures the elimination of lethal hypoplasia of the lungs due to the provision of the outflow of residual urine of the fetus and the replenishment of the lack of amniotic fluid using amnioinfusion.;1 cl, 2 ex
机译：田地：医学。物质：发明涉及医学，即产科和胎儿手术，可用于阻塞性尿声中胎儿的产前校正。为此，在超声控制和全身麻醉下，将VESICO-A​​mnimal分流器插入胎儿囊中，并进行氨基脲。将VESICO-A​​mnimal分流器插入羊腔中，然后用引导器进入胎儿囊，闭塞器被移除，导引器固定在工作位置，并且具有支架的导体插入导引管中，而Extrusor将支架挤压到工作区域。在这种情况下，包裹尾纤螺旋，可确保其固定在器官中。然后，介绍者被移除，进行胎儿动脉胎儿心跳和血液流动的超声监测。在操作后的第二天，进行重复的超声检查：评估胎儿的胎儿，支架的位置和羊水的量。对于羊水指数超过3厘米，胎儿肾功能被认为足以令胎儿肺的令人满意的发育，未表明氨基脲灌注。 7天后重复超声检查。如果羊水指数小于3cm，则进行氨基胺。在无菌条件下，将0.9％氯化钠溶液中的0.9％氯化钠溶液注射到羊腔中。在操纵之后，在胎儿的情况和羊水的量的情况下进行动态超声控制。重复减少刚性液体 - 羊水指数小于3cm，再次进行氨基胺。 ;效果：确保由于提供胎儿残留尿液的流出和使用羊膜灌浆的缺乏羊水的补充，确保消除肺的致死性发育不全。; 1 cl，2 ex

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