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产前诊断指证与胎儿的染色体核型分析

Analysis of Abnormal Chromosome in 125 Intrauterine Prenatal Diagnosis

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【作者】 陈雪银黎明红麦扬青王梅红金松黄元华

【Author】 Xue-yin CHEN,Ming-hong LI,Yang-qing MAI,Mei-hong WANG,Song JIN,Yuan-hua HUANG(Department of Reproductive Medicine,Affiliated Hospital,Hainan Medical College,Haikou,570102)

【机构】 海南医学院附属医院生殖医学中心海南医学院附属医院生殖医学中心 海口570102海口

【摘要】 目的:探讨胎儿染色体异常频率及与产前诊断指证的关系。方法:对有产前诊断指证的125例妊娠16-36周的孕妇进行羊膜腔穿刺或脐静脉穿刺术,取羊水细胞或脐血细胞培养进行胎儿染色体核型分析。结果:125例中,胎儿染色体异常7例,占5.60%(7/125)。其中高龄和唐氏高危孕妇44例中胎儿异常染色体检出率为2.27%(1/44);曾经生产过染色体病儿或孕妇本人或丈夫染色体结构异常携带者13例中,胎儿染色体异常检出率为38.46%(5/13);B超示胎儿畸形7例中,异常染色体检出率为14.29%(1/7)。结论:在各类产前诊断指证中,依次以父/或母为染色体结构异常携带者、B超检查胎儿畸形的胎儿染色体异常频率为高。

【Abstract】 Objective:To study the frequency of the abnormal chromosome and to investigate the relationship between the indications of prenatal diagnosis and abnormal karyotypes.Methods:Cordocentesis and amniocentesis were performed in 125 pregnant women with the indications of prenatal diagnosis during 16-36 gestational weeks.The samples of fetal blood and amniotic fluid were analyzed.Results:Seven abnormal chrosome karyotypes were found in 125 examples and the abnormal rate of karyotypes was 5.60%(7/125).One abnormal karyotypes were found in 44 advanced age pregnant woman and the abnormal rate was 2.27(1/44).The abnormal rate of pregnant woman or husband chromosome sickness that carried unusual chromosome and malformed fetuses were 50.00%(4/8)and 14.29%(1/7),respectively.Conclusion:In the pregnant women with prenatal diagnosis,abnormal karyotypes in fetuses are found to be higher in the following situations:pregnant woman or husband chromosome sickness,abnormal findings by ultrasound.

【关键词】 产前诊断异常核型染色体
【Key words】 prenatal diagnosisabnormal karyotypeschromosome
  • 【文献出处】 生殖与避孕 ,Reproduction & Contraception , 编辑部邮箱 ,2007年12期
  • 【分类号】R714.5
  • 【被引频次】1
  • 【下载频次】176
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