biparietal diameter BPD head circumference HC abdominal circumference

태아 생물학적 계측 임신중기 이후 ① 양쪽마루뼈지름 (biparietal diameter, BPD) ② 머리둘레 (head circumference, HC) ③ 복부둘레 (abdominal circumference, AC) ④ 대퇴골 길이 (femur length, FL)

무뇌증 (anencephaly)

뇌막탈출증 (meningomyelocele)

뇌실확장증 (ventriculomegaly)

림프물주머니 (cystic hygroma)

복벽결손 배꼽탈장 (omphalocele) 배벽갈림증 (gastroschisis)

샘창자폐쇄 (duodenal atresia)

도플러초음파 (Doppler) f 0 fd=2(f 0·cos. A·V) c fd A V fd peak systole fd end diastole

탯줄동맥 도플러 Normal diastolic flow Absent end-diastolic flow Reversed end-diastolic flow

태아중뇌동맥 (middle cerebral artery)

태아치료 Open Fetal Surgery • Cystic adenomatoid malformation • Extralobar pulmonary sequestration • Sacrococcygeal teratoma • Spina bifida Fetoscopic Surgery • Twin-twin transfusion: laser of placental anastamoses • Diaphragmatic hernia: fetal endoscopic tracheal occlusion (FETO) • Posterior urethral valves: cystoscopic laser • Congenital high airway obstruction: vocal cord laser • Amnionic band release Percutaneous Procedures • Shunt therapy Posterior-urethral valves/bladder outlet obstruction Pleural effusion: chylothorax or sequestration Dominant cyst in congenital cystic adenomatoid malformation (CCAM) • Radiofrequency ablation Twin-reversed arterial perfusion (TRAP) sequence Monochorionic twins with severe anomaly(ies) of 1 twin Chorioangioma • Fetal intracardiac catheter procedures Aortic or pulmonic valvuloplasty for stenosis Atrial septostomy for hypoplastic left heart with restrictive atrial septum Ex-utero-intrapartum-treatment(EXIT) procedures • Congenital diaphragmatic hernia after FETO • Congenital high airway obstruction sequence (CHAOS) • Severe micrognathia • EXIT-to-resection Resection of fetal thoracic or mediastinal mass Tumors involving airway/neck • EXIT-to-extracorporeal membrane oxygenation (ECMO) Congenital diaphragmatic hernia (if no fetal surgery)

태아치료 bladder outlet obstruction - fetal shunt therapy

태아치료 Sacrococcygeal teratoma – open fetal surgery

태아치료 Large lymphangioma–Ex utero intrapartum treatment (EXIT)