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土耳其复发性自然流产的细胞遗传学结果。

Cytogenetic results of recurrent spontaneous abortions in Turkey.

作者信息

Yuce Huseyin, Tekedereli Ibrahim, Elyas Halit

机构信息

Department of Medical Biology and Genetics, College of Medicine, Firat University, Elazig, Turkey.

出版信息

Med Sci Monit. 2007 Jun;13(6):CR286-89.

Abstract

BACKGROUND

Recurrent spontaneous abortion is defined as at least three consecutive pregnancy losses, occurring in 10% of all pregnancies. In the etiology of recurrent spontaneous abortion, a wide variety of abnormalities, such as anatomic, endocrinologic, and genetic abnormalities, has been reported. The aim of this study was to compare karyotyping results of couples with recurrent spontaneous abortions. This may contribute to elucidating the genetic basis of this condition and warn physicians of the cytogenetic abnormalities in cases with recurrent spontaneous abortions.

MATERIAL/METHODS: The cytogenetic results of patients with at least two abortions referred to Firat (Euphrates) University, College of Medicine, Department of Medical Biology and Genetics in the six-year period between 2000-2005 were reviewed retrospectively.

RESULTS

Of a total of 421 couples (842 patients), 23 men (2.73%) and 8 women (0.95%) had abnormal karyotypes. Balanced and unbalanced karyotypes and polymorphisms had rates of 1.06%, 0.71%, and 1.9%, respectively, the total rate being 3.68%.

CONCLUSIONS

These data show that cytogenetic evaluation is necessary for an accurate approach to elucidating the causes of recurrent spontaneous abortion, and physicians should also be careful of the diversity of chromosomal abnormalities that play important roles in the etiology of recurrent spontaneous abortion.

摘要

背景

复发性自然流产被定义为至少连续三次妊娠丢失,在所有妊娠中发生率为10%。在复发性自然流产的病因中,已报道了各种各样的异常情况,如解剖学、内分泌学和遗传学异常。本研究的目的是比较复发性自然流产夫妇的核型分析结果。这可能有助于阐明这种情况的遗传基础,并提醒医生注意复发性自然流产病例中的细胞遗传学异常。

材料/方法:回顾性分析了2000年至2005年六年期间转诊至菲拉特(幼发拉底河)大学医学院医学生物学与遗传学系的至少有两次流产的患者的细胞遗传学结果。

结果

在总共421对夫妇(842名患者)中,23名男性(2.73%)和8名女性(0.95%)核型异常。平衡和不平衡核型及多态性的发生率分别为1.06%、0.71%和1.9%,总发生率为3.68%。

结论

这些数据表明,细胞遗传学评估对于准确阐明复发性自然流产的病因是必要的,医生也应注意染色体异常的多样性,这些异常在复发性自然流产的病因中起重要作用。

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