Leclercq G, Buvat-Herbaut M, Monnier J C, Vinatier D, Dufour P
Service de Gynécologie-Obstétrique, Lille.
J Gynecol Obstet Biol Reprod (Paris). 1992;21(6):635-40.
It is extremely rare for pregnancy to occur spontaneously in a woman with a mosaic or non-mosaic karyotype 45 x 0. (Till now only 13 patients with a homogeneous x 0 karyotype have been reported out of 62 patients who between them have had 138 pregnancies). Furthermore these pregnancies have been plagued by a number of important complications or fetal malformations (21% have had chromosome anomalies). It is therefore clear that in vitro fertilization with donor oocytes is a tempting solution for these women. The authors having three personal cases try and point out the conditions under which this technique can be used. It is important to realise that from the age of 10 or 12 years these patients have to have hormone treatment in order to avoid hypoplasia and hypovascularization of the uterus. Those conditions explain why so many these women had premature labours and also suffer from pre-eclampsia. Caesarean section was often found to be necessary because of feto-pelvic disproportion.
对于核型为45,X0的嵌合型或非嵌合型女性而言,自然怀孕极为罕见。(截至目前,在62名共有138次妊娠经历的患者中,仅报告了13例核型均一为X0的患者)。此外,这些妊娠还受到许多重要并发症或胎儿畸形的困扰(21%存在染色体异常)。因此,对于这些女性来说,供体卵母细胞体外受精显然是一个诱人的解决方案。作者有三例个人病例,并试图指出使用该技术的条件。必须认识到,从10岁或12岁起,这些患者就必须接受激素治疗,以避免子宫发育不全和血管形成不足。这些情况解释了为什么这么多此类女性会早产,并且还患有先兆子痫。由于胎儿骨盆比例失调,剖宫产往往是必要的。