克利夫兰诊所已进入北美顶级医院的联盟,这些联盟正在提供子宫手术。该医院周三宣布,经过一年的准备,它能够成功完成俄亥俄州北部的第一次手术,以修复子宫内的胎儿进行修复脊柱裂。
Dr. Darrell Cass, Director of Fetal Surgery in the Cleveland Clinic’s Fetal Center, said, ‘The operation on the fetus in the uterus, I’m directing and in charge of, and the guidance of where we should open the uterus, the exposure of the baby.’ Dr. Darrell Cass, along with a team of specialists, carried out the surgery on a 23-week fetus with the birth defect spina bifida in February.
女婴于6月3日出生在37周。母亲和孩子都表现良好。那么,脊柱裂到底是什么?带有脊柱裂的胎儿的管子通常保护脊柱的最低部分,未能关闭,从而导致脊髓暴露,从而导致许多问题。达雷尔·卡斯(Darrell Cass)博士说:“脊柱裂导致婴儿的残疾,可能导致腿部瘫痪,它可能会影响他们的排尿能力。压力和液体的积累和压力会导致脑部损伤。’
胎儿手术是出生缺陷的一种选择,父母可以选择北美近20家医院。The fetal surgery was clinically accepted in 2011. Cass has conducted more than 160 fetal surgeries since 2002. Cass said, ‘We started doing simulations and walk-throughs and preparations for how the operations would go how the family’s experience would be.’ The team also visited other centers where fetal surgery is conducted to learn from the experts in the field.
尽管母亲表现良好,但她目前还没有接受采访。但是,她允许手术的镜头释放。卡斯说:“我们以最小的方式在婴儿的背部放置位置上打开子宫。”随后,团队通过子宫的开口修复了婴儿的脊椎,而子宫的开口只有4.5厘米宽。手术完成后,卡斯说:‘她的脊髓得到了完全保护。它被肌肉和皮肤覆盖;所谓的肌筋膜修复,这是当前的最新状态。’
卡斯进一步说:‘操作进展顺利,实际上,这个婴儿的背部修复是我过去20年来最好的。她仍然必须处理一些残疾,我们将处理所有这些事情,但她会尽可能地出色。’