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综合采用多种遗传学技术纠正一例珍贵胎儿的产前诊断错误

Correct Errors in the Prenatal Diagnosis Using Combined Genetic Techniques:A Case Report

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【作者】 文娟; 李浩贤; 龙志高; 夏艳; 夏家辉; 梁德生; 邬玲仟;

【Author】 WEN Juan;LI Hao-xian;LONG Zhi-gao;XIA Yan;XIA Jia-hui;LIANG De-sheng;WU Ling-qian;State Key Laboratory of Medical Genetics,Central South University,Hunan Jiahui Genetics Hospital;

【机构】 中南大学医学遗传学国家重点实验室; 湖南家辉遗传专科医院;

【摘要】 目的:对外院染色体G显带检测结果疑为22号同源染色体易位的妊娠妇女及其22号染色体长臂部分三体胎儿进一步确诊。方法:对该名妇女及其胎儿行高分辨G显带、N显带、荧光原位杂交(FISH)检测;对其父母行高分辨G显带、N显带检测。结果:妊娠妇女的核型为46,XX,t(11;22)(q25;q13),22ps+。22ps+遗传自其母亲,属正常变异;胎儿遗传了其母亲的22ps+染色体和正常的11号染色体,核型无异常。结论:综合采用多种遗传学技术,对家系相关成员进行检测,可增强细胞遗传学检测结果的可靠性,避免误诊。

【Abstract】 Objective:To verify the maternal balanced reciprocal translocation t(22;22) in a pregnant woman and the partial trisomy 22q in her fetus, which detected by G banding in a local hospital, using the combined genetic techniques. Methods:G-banding, N-banding and FISH were performed in the pregnant woman and her fetus,and high-resolution G-banding and N-banding in parents of the pregnant woman. Results:Inherited from her mother,the pregnant woman had the karyotype of 46,XX,t(11;22)(q25;q13), 22ps+. 22ps+ which was obviously a balanced reciprocal translocation with a pair of 22ps+ polymorphisms. A 22ps + and a normal chromosome 11 in fetus were found to transmit from the pregnant woman,leading to a balanced karyotype in the fetus. Conclusions:The comprehensive analysis by using combined genetic techniques should be performed in fetus and family members to prevent errors in prenatal diagnosis.

【基金】 卫生行业科研专项(201302001)
  • 【文献出处】 国际生殖健康/计划生育杂志 ,Journal of International Reproductive Health/Family Planning , 编辑部邮箱 ,2014年03期
  • 【分类号】R714.5
  • 【被引频次】2
  • 【下载频次】105
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