母胎医学是一门致力于母婴健康、减少出生缺陷、提高出生人口素质的新学科,其从医学角度将母体与胎儿置于同等地位。近10年来,欧美的母胎医学已获得了长足的发展,而在亚洲的发展还处在起步阶段。本书是引自美国CRC出版社的高质量母胎医学著作,由来自优选40余家医(学)院的80余位母胎医学专家联袂编写。历经20余年的不懈修订,全新第4版对母胎医学的发展现状及治疗趋势进行了全面描述,并细致阐述了盆腹腔解剖、正常分娩、助产技术、剖宫产、多胎分娩、产科麻醉等专业内容,深入讲解了子宫瘢痕妊娠、妊娠期妇科肿瘤、外科并发症的处理技巧,详细展示了介入性产前诊断操作技术、宫内微创胎儿治疗、开放性胎儿手术等母胎医学领域的新进展。
目 录第 1 章 前腹壁、子宫及盆腔器官的解剖一、前腹壁······························· 1二、子宫································· 7三、输卵管······························ 14四、卵巢································ 14五、子宫的韧带·························· 15六、子宫的血管、淋巴和神经·············· 15七、输尿管的盆腔部分···················· 17八、膀胱和尿道·························· 18九、乙状结肠、直肠和肛管················ 19十、妊娠期肥胖·························· 19第 2 章 _x005f会阴、外阴、阴道的局部解剖一、外阴································ 22二、会阴································ 24三、阴道································ 26第 3 章 临床骨盆测量一、骨盆解剖···························· 28二、产科骨盆···························· 29三、骨盆形状···························· 30四、临床骨盆测量························ 31第 4 章 孕早期胚胎胎儿镜一、概述································ 34二、历史································ 34三、技术································ 35四、应用································ 36五、伦理问题···························· 40六、总结································ 40第 5 章 绒毛膜取样一、概述································ 43二、取样过程···························· 44三、CVS 的实验室部分 ··················· 47四、CVS 的安全性 ······················· 47五、CVS 的准确性 ······················· 51六、开展 CVS 项目······················· 52七、CVS 的接受度 ······················· 53第 6 章 羊膜腔穿刺一、概述································ 57二、羊膜腔穿刺在遗传学检查中的应用······ 57三、胎肺成熟度检测······················ 59四、同种免疫···························· 59五、羊膜腔穿刺技术······················ 59六、多胎妊娠的羊膜腔穿刺················ 61七、羊膜腔穿刺的并发症·················· 62八、总结································ 62第 7 章 胎儿宫内输血一、胎儿贫血的病因······················ 65二、总结································ 83第 8 章 减胎及选择性减胎一、概述································ 87二、总结································ 98第 9 章 自然流产和人工流产一、流产的定义及临床表现··············· 101二、发生率····························· 103三、病因······························· 103四、病理······························· 105五、诊断······························· 106六、治疗······························· 107七、孕早期
刘俊涛,男,临床医学博士,北京协和医院妇产科学系副主任、产科中心主任,主任医师,博士研究生导师,全国产前诊断技术专家组成员。主要研究方向为产前诊断与母胎医学,对产科手术具有丰富的临床经验。兼任中华医学会围产医学分会常委,中国优生科学协会副会长,北京医学会围产医学分会副主委,中国医师协会遗传医师分会产前诊断专委会主任委员等职务。1999—2000年,作为不错访问学者去往澳大利亚 Royal Women's Hospital工作。承担及参与重量、省部级课题共10余项,科研成果获国家医学科技奖二等奖。周希亚,女,中国协和医科大学临床医学系医学博士,北京协和医院产科中心副主任医师,主要研究方向为母胎医学。兼任中华医学会儿科分会出生缺陷防治委员会委员,中国医师协会遗传分会产前诊断委员会委员,北京医学会围产医学分会委员,北京医学会早产与早产儿分会委员等。2011年于英国King's College Hospital胎儿医学研究中**习。参与国家“十五”“十一五”科技攻关及科技支撑课题研究,主持国家自然科学基金项目1项。