China News Service, Shanghai, March 4th (Chen Jing Gaoyan) At present, the empowerment of 5G technology has broken down the barriers of time, space and professional disciplines, and made it a reality to "plan a strategy and win thousands of miles away".

  The reporter learned on the 4th that in the telemedicine center of the Fetal Medicine Department of the Shanghai First Maternity and Infant Health Hospital (hereinafter referred to as "Yi Maternal and Infant"), Sun Luming, director of the fetal medicine department and deputy director of the prenatal diagnosis center, was staring at the big screen. The B-ultrasound projection on the top, calmly commanded.

At the same time, in an operating room in Fuzhou, more than 770 kilometers away from Shanghai, Lin Na, director of the Prenatal Diagnosis Center of Fujian Maternal and Child Health Hospital, successfully completed the hospital's first case "under the guidance of "cloud surgery" by Sun Luming. Radiofrequency ablation of heartless teratogenic fetuses".

  In an interview with reporters on the 4th, Sun Luming introduced that the pregnant woman on the operating table was a twin mother who was 19 weeks pregnant.

A baby in the womb has been diagnosed with a rare fetal disorder known as the twin acardiomas sequence.

This is a rare complication in monozygotic twins.

The expert explained: "Simply put, the mother has a fetus without cardiac malformation in her womb, and its blood supply comes from another normally developing fetus, the 'pumping baby'. This 'pumping baby' not only needs to satisfy its own blood The needs of circulation, but also the blood supply of the 'acardiac fetus', its heart load is increasing, and eventually heart failure occurs. If it is not treated in time before delivery, more than 50% of 'blood pumping' will develop perinatal infants death. Therefore, the twin acardiac teratogenic sequence syndrome belongs to the critically ill fetal diseases." Due to the rare cases, only a few hospitals in China, including a woman and an infant, are currently capable of accurate prenatal diagnosis of such diseases, and the Carry out intrauterine treatment.

The new technology platform based on "5G + artificial intelligence" will create more new models of diagnosis and treatment.

Photo courtesy of a mother and baby

  It is reported that the intrauterine surgery performed jointly by doctors from Shanghai and Fujian is to accurately coagulate the blood vessels from the "pumping child" in the "heartless fetus" through radiofrequency ablation technology under the guidance of ultrasound, block the blood supply, and thereby remove the "pump". The survival rate of "blood children" increased to 80-90%.

  "Although we have done radiofrequency ablation for fetal reduction before, it is the first time to use radiofrequency ablation in a case without cardiac teratogenesis." Director Lin Na said.

It is reported that, as a cooperative unit of the Department of Maternal, Infant and Fetal Medicine, a number of doctors from the Prenatal Diagnosis Center of Fujian Maternal and Child Health Hospital went to a Maternity, Infant and Fetal Medicine Department for further study.

She said: "This time I really wanted to invite Director Sun Luming over, but due to the new crown pneumonia epidemic, I couldn't make the trip. Today I tried the 'cloud' remote surgical guidance, and the effect was very good. This kind of real-time communication without delay gives the surgeon It brings a great sense of security to both the patient and the patient.”

  "The high-definition ultrasound real-time image transmission and the whole process of barrier-free communication made me feel like I was in the operating room in Fuzhou." Sun Luming sighed that this new technology platform based on "5G + artificial intelligence" must More new models of diagnosis and treatment will be created.

She said that she believes that on this platform, doctors can also perform more types of intrauterine operations, such as remote-guided fetoscopic surgery.

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