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[孕早期羊膜腔穿刺术在产前诊断中的价值]

[Value of early amniocentesis for prenatal diagnosis in the first trimester of pregnancy].

作者信息

Bakharev V A, Karetnikova N A, Polesterov Iu A, Lisova L P, Iantovskiĭ Iu R

出版信息

Akush Ginekol (Mosk). 1991 Apr(4):9-10.

PMID:1713747
Abstract

For the prenatal diagnosis of the fetal status, amniocentesis was performed in 9-12-week pregnancy in 31 females at risk for birth of a baby with chromosomal abnormalities and congenital malformations of the central nervous system. There were no difficulties in carrying out the procedure. A balanced translocation-bearing female was found to have a fetal chromosomal abnormality. Her pregnancy was interrupted at the 11th week; the prenatal diagnosis was evidenced by cytogenetic examination of the abortion specimen. The amniotic fluid alpha-fetoprotein estimated by radioimmunoassay ranged from 15-18 to 550-620 ng/ml. The findings suggest that early amniocentesis may be useful in the prenatal diagnosis of the fetal status and further evidence should be accumulated.

摘要

为了对胎儿状况进行产前诊断,对31名有生育染色体异常和中枢神经系统先天性畸形婴儿风险的女性,在妊娠9至12周时进行了羊膜穿刺术。该操作过程没有困难。发现一名携带平衡易位的女性胎儿存在染色体异常。她在第11周时终止了妊娠;对流产标本进行细胞遗传学检查证实了产前诊断。通过放射免疫测定法估计的羊水甲胎蛋白范围为15 - 18至550 - 620 ng/ml。这些发现表明早期羊膜穿刺术可能有助于胎儿状况的产前诊断,应积累更多证据。

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