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对曾育21三体综合征患儿者行胚胎种植前遗传学诊断获妊娠1例 被引量:1

Normal pregnancy in a woman having had a child with trisomy 21syndrome before:application of preimplantation genetic diagnosis
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摘要 目的在体外受精-胚胎移植过程中,对高危夫妇进行胚胎种植前遗传学诊断以避免21三体综合征患儿的出生.方法常规激素替代治疗,对患者夫妇行胞母细胞质内单精子注射(ICSI),正常受精培养到第3天,对6~10细胞期胚胎活检1个细胞,利用荧光原位杂交技术(FISH)进行胚胎种植前遗传学诊断(PGD),挑选染色体数目正常的胚胎移植入患者子宫.结果共对8个胚胎进行PGD,7个有诊断结果者中6个为正常胚胎、1个为21三体胚胎.挑选3个胚胎移植,获得妊娠并产下一健康男婴.结论应用FISH对染色体数目异常的遗传疾病,如21三体综合征,进行胚胎种植前遗传学诊断是切实可行的. Objective To studythevalueof preimplantationgeneticdiagnosis(PGD)beforepregnancyfor coupleswho are exposedto highriskof trisomy21syndromein thierprogeniesto obtainbirthof healthychildby in vitro fertilization procedures.Methods Conventionalhormonereplacementtreatmentwithintracytoplasmicsperminjection(ISCI)was administeredfor ovumfertilization.Oneor two cells(blastomeres)wereaspiratedfromthepreimplantationembryothathad grownto6to10cells(day3postfertilization)for PGDwithfluorescencein situ hybridization(FISH),and3embryoswith normalchromosomeweretransferredintothe uterus.Results PGDwas carriedout in a totalof8embryoswithvalid diagnosesin7,of which6wereidentifiedas normalembryosand1hadtrisomy21syndrome.Pregnancywasobtainedthat resultedinthebirthof a healthybaby.Conclusion Detectionof chromosomalabnormalitiessuchas trisomy21syndromeis feasibleforPGDwithFISH.
出处 《第一军医大学学报》 CSCD 北大核心 2002年第3期269-271,共3页 Journal of First Military Medical University
关键词 21三体综合征 胚胎种植前遗传学诊断 荧光原位杂交技术 儿童 PGD trisomy21syndrome preimplantationgeneticdiagnosis fluorescencein situ hybridization
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