NHẬN XÉT KẾT QUẢ ĐẶT SHUNT DẪN LƯU MÀNG PHỔI - BUỒNG ỐI CHO THAI NHI TRÀN DỊCH MÀNG PHỔI TẠI BỆNH VIỆN PHỤ SẢN HÀ NỘI

Abstract

Objectives: To evaluate the outcomes of thoracoamniotic shunt placement in the treatment of fetal pleural effusion at Hanoi Obstetrics and Gynecology Hospital. Methods: A descriptive, case-series study was conducted on 11 pregnant women whose fetuses were diagnosed with pleural effusion and underwent thoracoamniotic shunt placement at Hanoi Obstetrics and Gynecology Hospital from May 2025 to March 2026. Results: The mean gestational age at the time of intervention was 29.08 ± 2.81 weeks. Bilateral pleural effusion accounted for 72.7%, hydrops fetalis accounted for 72.7%, and polyhydramnios accounted for 90.9%. Unilateral shunt placement was performed in 81.8% of cases; 27.3% required shunt replacement. No intraoperative complications were recorded. Following intervention, the pleural fluid thickness decreased significantly from 47.25 ± 14.33mm to 16.31 ± 14.04mm (p < 0.05). All cases with hydrops fetalis demonstrated complete or partial resolution after shunting. The mean prolongation of pregnancy was 5.64 ± 3.14 weeks, and the mean gestational age at delivery was 34.58 ± 1.71 weeks. Conclusion: Thoracoamniotic shunt placement is a safe and effective prenatal intervention for fetal pleural effusion. The procedure facilitates rapid decompression of pleural fluid, improves hydrops fetalis, and prolongs gestation, thereby contributing to improved perinatal outcomes.