胎儿染色体异常的核型分析

Nguyen Thi Giang An, Nguyen Thi Giang
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摘要

产前筛查是胎儿期早期发现和干预新生儿健康的重要手段。这种方法有助于提高人口的整体素质,减轻与出生缺陷有关的严重后果。产前筛查包括多种技术,包括流行病学调查、胎儿超声成像、母体血液筛查和通过核型技术进行羊水筛查。该过程包括从存在于羊水中的细胞中提取胎儿染色体,然后进行细胞培养和低渗处理。随后,将这些染色体用g带染色并在显微镜下检查。121例平均年龄为32±6.69岁的孕妇产前筛查结果显示,21%的孕妇有过流产经历,23.1%曾生过畸形儿,8.3%的家庭有遗传病,5%的父母有染色体异常。在51例使用双试验筛选的患者中,26.45%的胎儿表现出出生缺陷的高风险,而三试验在19例中发现了9.09%的高风险。121例染色体分析显示,15.7%的胎儿出现染色体异常,其中Edwards综合征占5.78%,Down综合征占4.96%,染色体异常占3.30%,Patau综合征占0.83%,Turner综合征占0.83%。年龄> 35岁(r = 0.08, OR = 0.63)、流产史(r = 0.05, OR = 1.38)、家族史(r = 0.04, OR = 1.38)、亲本染色体突变(r = 0.01, OR = 1.08)与胎儿异常有较强的正相关。此外,超声筛查结果(r = 0.22, OR = 5.48)与血液筛查结果(r = 0.14, OR = 1.22)呈正相关。产前筛查,羊膜穿刺术,核型,染色体,胎儿染色体。
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 Fetal Chromosome Abnormalities by Karyotpye
Prenatal screening is a crucial method employed during the fetal stage to detect and intervene early, thereby ensuring the health of newborn babies. This approach serves to enhance the overall quality of the population and mitigate the severe consequences associated with birth defects. Prenatal screening encompasses various techniques, including epidemiological investigations, fetal imaging ultrasound, maternal blood screening, and amniotic fluid screening by karotype technique. The process involves extracting fetal chromosomes from cells present in the amniotic fluid, followed by cell culture and hypotonic treatment. Subsequently, these chromosomes are stained with G-band and examined under a microscope. The results obtained from prenatal screening in a sample of 121 patients, with an average age of 32 ± 6.69, indicated that 21% of pregnant women had experienced a miscarriage, 23.1% had previously given birth to a malformed baby, 8.3% of families had a genetic disease, and 5% of parents exhibited chromosomal abnormalities. Among the 51 patients screened using the Double test, 26.45% of fetuses exhibited a high risk of birth defects, whereas the Tripple test identified a high risk in 9.09% of the 19 cases. Chromosome analysis of the 121 cases revealed that 15.7% of the fetuses exhibited chromosomal abnormalities, with Edwards syndrome accounting for 5.78%, Down syndrome accounting for 4.96%, chromosomal abnormalities accounting for 3.30%, Patau syndrome accounting for 0.83%, and Turner syndrome accounting for 0.83%. Age over 35 years (r = 0.08 and OR = 0.63), history of miscarriage (r = 0.05 and OR = 1.38), family history of hereditary disease (r = 0.04 and OR = 1.38), and parental chromosomal mutations (r = 0.01 and OR = 1.08) were all found to have a strong positive correlation with fetal abnormalities. Additionally, positive correlations were observed between the results of ultrasound screening (r = 0.22 and OR = 5.48) and blood screening (r = 0.14 and OR = 1.22). Prenatal screening, Amniocentesis, Karyotype, Chromosome, fetal chromosome.      
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