Abstract：
The purpose of this review is to provide an overview of the perinatal outcomes of fetuses who underwent fetal surgery for the management of Amniotic Band Syndrome (ABS). A systematic review of studies reporting on the perinatal outcome of fetuses undergoing fetoscopic release of amniotic bands according to the (PRISMA) guidelines was performed. The MEDLINE, Embase, Scopus, and Cochrane Library databases were systematically searched. In total, 17 studies reporting 37 cases of ABS that underwent amniotic band release by fetoscopy were included. The median gestational age at which fetal surgery was performed was 22 weeks (range 18-29 weeks). PPROM occurred in 51.3%, while fetal survival reached 89.2%. The success of fetal surgery was 75.7% in preserving and maintaining the functionality of the affected limb. Fetoscopic release of amniotic bands can preserve the affected limb and its function in cases of ABS and prevent fetal death in cases of ABS involving the umbilical cord. Further studies are needed to determine the optimal criteria for selecting patients who can benefit from fetal surgery, considering that it is an intervention that is not free of perinatal complications.
摘要：
这篇综述的目的是概述接受胎儿手术治疗羊膜带综合征（ABS）的胎儿的围产期结局。对根据（PRISMA）指南进行胎儿镜下羊膜带释放的胎儿的围产期结局报告的研究进行了系统评价。MEDLINE,Embase,Scopus,系统检索了Cochrane图书馆数据库。总的来说,纳入17项研究报告了37例ABS，通过胎儿镜检查进行了羊膜带释放。进行胎儿手术的中位胎龄为22周（范围为18-29周）。PPROM发生率为51.3%，而胎儿存活率达到89.2%。胎儿手术在保留和维持患肢功能方面的成功率为75.7％。在ABS的情况下，胎儿镜下释放羊膜带可以保留患肢及其功能，在涉及脐带的ABS的情况下可以防止胎儿死亡。需要进一步的研究来确定选择可以从胎儿手术中受益的患者的最佳标准。考虑到这是一种并非没有围产期并发症的干预措施。
