摘要
目的分析胎儿染色体异常出现的频率及与前产诊断指征的关系。方法对有产前诊断指征的177名妊娠19 ̄32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并分析胎儿染色体核型。结果177例产前诊断中,染色体异常23例,占12.99%(23/177)。其中高龄孕妇37例,染色体异常7例,异常染色体检出率为18.92%(7/37);孕妇本人或丈夫染色体携带者异常染色体检出率为33.33%(3/9);胎儿畸形的异常染色体检出率为15.63%(5/32)。结论在各类产前诊断指征中,出现胎儿染色体异常者依次以父或母为染色体结构异常携带者、高龄、B超检查异常者的频率高。
[Objective] To study the frequency of the abnormal chromosome, and to investigate the relationship between the indications of prenatal diagnosis and abnormal karyotypes. [Methods] Cordoeentesis and amnioeentesis were performed in 177 pregnant women with the indications of prenatal diagnosis during 19-32 gestational weeks. The samples of fetal blood and amniotic fluid were analyed. [Results] 23 abnormal chrosome karyotypes were found in 177 examples and the abnormal rate of abnormal karyotypes was 12.99% (23/177). 7 abnormal karyotypes were found in 37 advanced age pregnant woman and the abnormal rate was 18.93% (7/37). The abnormal rate of pregnant woman or husband chromosome sickness that carried unusual chromosome and malformed fetuses were 33.33%(3/9) and 15.63% (5/32), respectively. [Conclusions] 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, advanced maternal age, abnormal findings by ultrasound.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2005年第16期2503-2505,共3页
China Journal of Modern Medicine
关键词
产前诊断
异常核型
染色体
prenatal diagnosis
abnormal karyotypes
chromosome