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[原发性闭经的细胞遗传学研究]

[Cytogenetic studies in primary amenorrhea].

作者信息

Baron J, Warenik-Szymankiewicz A

出版信息

Zentralbl Gynakol. 1975;97(11):649-55.

PMID:1189755
Abstract

Cytogenetic analysis in 125 women with primary amenorrhea consisting of determinations of sex chromatin and karyotype, and in some cases of autoradiography were performed. On the basis of clinical, endocrinologic and cytogenetic criteria, the women were divided into ten clinical groups. In Turner's syndrome 45,X monosomie was observed only in 9 patients and in the remaining 12 cases varies types of mosaicism or of structural aberrations of the X chromosome. In pure gonadal dysgenesis, the patients exhibited 46,XY karyotype have the tendency to malign tumors of the gonads. In all cases with male pseudohermaphroditism the karyotypes 46,XY were observed. The remaining patients with primary amenorrhea exhibited 46,XX karyotype and belonged to the cases with Mayer-Rokitansky-Kustner syndrome, with adrenogenital syndrome, with hypoplasia of the ovaries, with primary amenorrhea of uterine or pituitary origin or at last with pubertas tarda.

摘要

对125例原发性闭经女性进行了细胞遗传学分析,包括性染色质和核型测定,部分病例还进行了放射自显影。根据临床、内分泌和细胞遗传学标准,将这些女性分为十个临床组。在特纳综合征中,仅在9例患者中观察到45,X单体型,其余12例存在不同类型的X染色体嵌合体或结构畸变。在单纯性腺发育不全中,表现为46,XY核型的患者有发生性腺恶性肿瘤的倾向。在所有男性假两性畸形病例中,均观察到46,XY核型。其余原发性闭经患者表现为46,XX核型,属于迈耶-罗基坦斯基-库斯特纳综合征、肾上腺性征异常综合征、卵巢发育不全、子宫或垂体源性原发性闭经或青春期延迟的病例。

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