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改良荧光原位杂交三步法在产前诊断绒毛标本中的应用 被引量:1

Application of modified three-step fluorescence in situ hybridization in prenatal diagnosis
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摘要 目的 对荧光原位杂交方法进行改良,探讨一种更简便高效的杂交方法.方法 采用对照实验收集2012至2013年绍兴市妇幼保健院36份产前诊断绒毛标本,将标本制片后,使用18/X/Y、13/21探针,分别用改良三步法和经典法进行杂交,观察杂交率和荧光信号,并与传统培养结果进行配对t检验.结果 共检测72个杂交区,21/13探针三步法杂交率和杂交信号均明显高于经典法(杂交率99.72% ±0.42%和85.90%±4.15%,t=20.4,P<0.01;杂交信号2.58 ±0.50和1.52±0.55,t=7.53,P<0.01),三步法18/X/Y探针杂效率与信号与经典法差异无统计学意义(杂效率99.57% ±0.53%和99.70% ±0.42%,t=1.30,P>0.05;杂交信号2.22 ±0.42和2.36 ±0.48,t=1.57,P>0.05);经典法与三步法的荧光原位杂交结果与传统培养结果符合率为100%(36/36).结论 本研究中的改良三步法操作简便,步骤简单、实验效率高、环保,但也存在18/X/Y信号偏散的情况,有待于进一步摸索. Objective To investigate a simple and efficient fluorescence in situ hybridization method for prenatal diagnosis.Methods Thirty-six cases of chorionic villus samples were hybridized with probes 18/X/Y,13/21 by using traditional cuhure methods and modified three-step methods in controlled experimentation during 2012 to 2013.The hybridization rate and fluorescence signals were analyzed.Results A total of 72 hybrid zone were detected.Probe 21/13 hybridization rate and fluorescence signals of three-step modified methods were higher than that of traditional methods(99.72% ±0.42% vs 85.90% ±4.15%,t =20.4,P 〈0.01; 2.58 ±0.50 vs 1.52 ± 0.55,t =7.53,P 〈0.01).Probe 18/X/Y has the same hybridization rate and fluorescence signals between three-step modified methods and traditional methods (99.57% ±0.53% vs99.70% ±0.42%,t=1.30,P〉0.05; 2.22±0.42 vs2.36±0.48,t=1.57,P〉0.05).The coincidence rate of two methods was 100% (36/36).Conclusion The modified fluorescence in situ hybridization three-step methods in the study was simple,rapid,effective and environment-friendly.At the same time,it has some defects such as the signals of 18/X/Y was not concentrated enough.Further exploration is needed.
出处 《中华检验医学杂志》 CAS CSCD 北大核心 2014年第4期266-269,共4页 Chinese Journal of Laboratory Medicine
关键词 原位杂交 荧光 产前诊断 In situ hybridization,fluorescence Prenatal diagnosis
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