Marton T, Hargitai B, Patkós P, Csapó Z, Szende B, Papp Z
I. sz. Szülészeti és Nögyógyászati Klinika, Semmelweis Orvostudományi Egyetem, Budapest.
Orv Hetil. 1999 Jun 20;140(25):1411-6.
Authors report on the practice and most important genetic questions of fetopathological examinations. A so called genetic-morphologic approach is suggested. The observer needs special knowledge to recognize major and minor signs of defects in fetuses in the second, or sometimes even in the first trimester. Spontaneous abortions in the first trimester are caused mainly by chromosome aberrations. In the second trimester the main causes of spontaneous abortions are maternal in origin or secondary to intrauterine infection. Medical legal aspects are also reviewed. For proper documentation a photo or X-ray must be taken. Cytogenetic and molecular genetic methods are also very important tools, therefore examination must be performed before fixation. For the first time in Hungary fetal biometric data are presented with correlation between gestational age and different organ weights. Our aim is to promote better understand of fetal malformations and disorders.
作者报告了胎儿病理学检查的实践及最重要的遗传学问题。提出了一种所谓的遗传形态学方法。观察者需要具备特殊知识,以便识别妊娠中期甚至有时是妊娠早期胎儿缺陷的主要和次要体征。妊娠早期的自然流产主要由染色体畸变引起。妊娠中期自然流产的主要原因源于母体或继发于宫内感染。还对医学法律方面进行了综述。为了进行适当记录,必须拍摄照片或X光片。细胞遗传学和分子遗传学方法也是非常重要的工具,因此必须在固定前进行检查。首次在匈牙利展示了胎儿生物测量数据以及胎龄与不同器官重量之间的相关性。我们的目的是促进对胎儿畸形和疾病的更好理解。