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对来自斯洛伐克南部的1508例自然流产进行的细胞遗传学分析。

Cytogenetic analysis of 1508 spontaneous abortions originating from south Slovakia.

作者信息

Dejmek J, Vojtassák J, Malová J

机构信息

Institute of Preventive and Clinical Medicine, Bratislava, Czechoslovakia.

出版信息

Eur J Obstet Gynecol Reprod Biol. 1992 Sep 23;46(2-3):129-36. doi: 10.1016/0028-2243(92)90257-y.

Abstract

Knowledge with regard to the spontaneous abortion cytogenetics has been derived exclusively from populations of the highly developed countries; its full applicability to east-european populations living in the peculiar conditions of the former 'socialist countries' may be questioned. The consecutive series of 1912 spontaneous abortion products with identifiable embryonal tissue was collected in six maternal clinics in south Slovakia. 1508 specimens were set in culture. Among 926 (61.4%) successfully karyotyped abortions, 46.0% were chromosomally abnormal specimens. The proportion of the groups of abnormalities is similar to that in other large series, with the exception of a higher proportion of mosaics (14.3% of the abnormalities). The abnormality rate in the whole sample also lies within the range of values published. However, significant inter-regional variability has been established: the chromosome abnormality rate in the urban subsample is 47.8%, whereas the value was only 35.3% for rural southern districts. The anomaly rates are lower for all maternal ages and gestation phases in the country subsample. The possibility of the environmental diversity effect was discussed. No other major peculiarity of cytogenetic abortion characteristics can be determined in the population studied.

摘要

关于自然流产细胞遗传学的知识完全来自高度发达国家的人群;其在前“社会主义国家”特殊条件下生活的东欧人群中的全面适用性可能受到质疑。在斯洛伐克南部的六个产妇诊所收集了连续的1912份带有可识别胚胎组织的自然流产产物。1508个标本进行了培养。在926例(61.4%)成功进行核型分析的流产病例中,46.0%是染色体异常标本。异常组的比例与其他大型系列相似,只是嵌合体的比例较高(占异常的14.3%)。整个样本中的异常率也在已发表的值范围内。然而,已确定存在显著的区域间差异:城市子样本中的染色体异常率为47.8%,而南部农村地区的这一值仅为35.3%。农村子样本中所有产妇年龄和妊娠阶段的异常率都较低。讨论了环境多样性影响的可能性。在所研究的人群中未发现细胞遗传学流产特征的其他主要特殊之处。

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