33079例罕见常染色体三体无创产前检查产前诊断及妊娠结局分析

IF 2.1 4区 医学 Q3 GENETICS & HEREDITY
Xu Yan, Kai Ding, Xin Zhang, Shuai Zhang, Haiying Peng, Ying Zhang
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引用次数: 0

摘要

背景:无创产前检测被广泛用于筛查常见的胎儿非整倍体疾病,如21三体、18三体和13三体。然而,它检测罕见常染色体三体的能力带来了新的复杂性和临床不确定性。方法:回顾性分析2015 - 2023年湖北医科大学人民医院生殖医学中心通过无创产前检查确定为罕见常染色体三体高危病例的产前诊断结果及妊娠结局。结果:66例确诊为罕见常染色体三体高危,检出率为0.20%(66/33,079)。7人拒绝羊膜穿刺术,而其他人接受了该手术。产前诊断程序没有证实存在相应的罕见常染色体三体在任何这些情况下。66例罕见常染色体三体(rat)患者中,5例失访,1例因个人原因终止妊娠(TOP),其余60例妊娠结局有效。在这60例有效结局中,50例(83.33%)导致足月分娩,10例(16.67%)出现不良妊娠结局。结论:高危罕见常染色体三体的产前诊断典型表现为核型正常,未发现染色体异常,多数病例可实现足月妊娠结局。然而,不良妊娠结局如早产、死胎、胎盘异常和宫内生长受限是常见的,应给予临床关注和考虑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Analysis of prenatal diagnosis and pregnancy outcomes for rare autosomal trisomies detected by non-invasive prenatal testing in 33,079 cases.

Background: Non-invasive prenatal testing is widely used for screening common fetal aneuploidy disorders such as trisomy 21, trisomy 18, and trisomy 13. However, its ability to detect rare autosomal trisomies has introduced a new layer of complexity and clinical uncertainty.

Methods: A retrospective analysis was conducted on the prenatal diagnostic results and pregnancy outcomes of cases identified as high-risk for rare autosomal trisomies through non-invasive prenatal testing at the reproductive medicine center, Renmin hospital, Hubei university of medicine, from 2015 to 2023.

Results: 66 cases identified as high-risk for rare autosomeal trisomies, yielding a detection rate of 0.20% (66/33,079). 7 declined amniocentesis, while the others underwent the procedure. Prenatal diagnostic procedures did not confirm the presence of the corresponding rare autosomal trisomy in any of these cases. Among the 66 cases of rare autosomal trisomies (RATs), 5 cases were lost to follow-up, and 1 case underwent termination of pregnancy (TOP) for personal reasons, leaving 60 cases with valid pregnancy outcomes. Of these 60 valid outcomes, 50 (83.33%) resulted in full-term births, while 10 (16.67%) experienced adverse pregnancy outcomes.

Conclusion: Prenatal diagnosis for high-risk rare autosomal trisomies typically reveals a normal karyotype with no detectable chromosomal abnormalities, and most cases can achieve full-term pregnancy outcomes. However, adverse pregnancy outcomes such as preterm birth, fetal demise, placental abnormalities, and intrauterine growth restriction are common and should be given clinical attention and consideration.

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来源期刊
BMC Medical Genomics
BMC Medical Genomics 医学-遗传学
CiteScore
3.90
自引率
0.00%
发文量
243
审稿时长
3.5 months
期刊介绍: BMC Medical Genomics is an open access journal publishing original peer-reviewed research articles in all aspects of functional genomics, genome structure, genome-scale population genetics, epigenomics, proteomics, systems analysis, and pharmacogenomics in relation to human health and disease.
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