目的:据估计,双胎对双胎输血综合征(TTTS)发生在10-15%的单绒毛膜双胎妊娠中。其中一个胎儿扮演捐赠者的角色,另一个则扮演接受者的角色。所施用的治疗包括连续羊膜减少和连通血管的激光光凝。TTTS之后,儿童的精神运动功能可能有缺陷,特别是在认知功能方面,富有表现力的语言,和运动技能。很少有科学报告表明,TTTS后的双胞胎在测量智力功能的测试中没有显着差异。方法:使用以下工具比较了双胞胎在儿童后期的认知功能:分析其病史,采访他们的父母,和神经心理学测试允许评估他们的认知功能的整体概况。案例研究:在一对11岁的男性双胞胎(少年运动员)中分析了儿童后期的认知功能,捐赠者和接受者,在产前期间发展为TTTS综合征的患者。结果:供体和受体的认知功能概况的比较表明,有TTTS病史的儿童在儿童后期的认知和运动功能方面发育正常。对捐献者和受赠者进行比较分析,对受赠者更有利,一般智力水平较高的人,视觉-运动记忆,和语义流畅性。结论:捐赠者和接受者都选择从事体育运动的事实表明,粗大运动技能是他们的强项。运动作为TTTS后早产儿童认知功能康复的一种方法,有助于认知功能的改善。
Objective: It is estimated that twin-to-twin transfusion syndrome (TTTS) occurs in 10-15% of monochorionic twin pregnancies. One of the fetuses takes on the role of
donor and the other of recipient. The treatment administered involves serial amnioreduction and laser photocoagulation of the communicating blood vessels. After TTTS, children may have deficiencies in psychomotor functioning, in particular in cognitive functions, expressive language, and motor skills. Few scientific
reports indicate that twins after TTTS do not demonstrate significant differences in tests which measure intellectual functioning. Methods: The cognitive functioning of twins in the late childhood period was compared using the following tools: an analysis of their medical history, an interview with their parents, and neuropsychological tests allowing the evaluation of their whole profile of cognitive functions.
Case Study: Cognitive functioning in the late childhood period was analyzed in a pair of 11-year-old male twins (juvenile athletes), a
donor and a recipient, who had developed TTTS syndrome in the prenatal period. Results: Comparison of the cognitive functioning profile of the donor and recipient revealed that children with a history of TTTS develop normally in terms of cognitive and motor functioning in late childhood. A comparative analysis of the
donor and recipient was more favorable for the recipient, who had a higher level of general intelligence, visual-motor memory, and semantic fluency. Conclusions: The fact that both the donor and the recipient chose to pursue athletics suggests that gross motor skills are their strongest suit. Playing sports as a method of rehabilitation of cognitive function of children born prematurely after TTTS could contribute to the improvement of cognitive functioning.