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孕早期羊膜腔穿刺术或绒毛取样后的肺功能。

Lung function following first-trimester amniocentesis or chorion villus sampling.

作者信息

Thompson P J, Greenough A, Nicolaides K H

机构信息

Department of Child Health, King's College Hospital Medical School, London, UK.

出版信息

Fetal Diagn Ther. 1991;6(3-4):148-52. doi: 10.1159/000263638.

Abstract

Functional residual capacity (FRC) was measured at 2-8 (median 4) weeks of age in 100 infants whose mothers had entered a randomized trial of amniocentesis versus chorion villus sampling (CVS) at 10-13 weeks gestation. At measurement all of the infants were well and none had respiratory problems. No significant difference was found in the FRC of infants whose mothers had undergone amniocentesis (n = 49) compared to those who had undergone CVS (n = 51). The 95% confidence intervals of the difference of the means of the amniocentesis group (29.7 ml/kg) and the CVS group (30.4 ml/kg) were -1.17 and 2.52 ml/kg. Three patients in the amniocentesis group and 2 in the CVS group had an FRC less than 24 ml/kg, which is below the 2.5th centile of the reference range. These preliminary results suggest that there is no difference in the effect on antenatal lung growth of these two first-trimester antenatal diagnostic procedures.

摘要

对100名婴儿在2至8周(中位年龄4周)时测量了功能残气量(FRC),这些婴儿的母亲在妊娠10至13周时参加了一项羊水穿刺术与绒毛取样(CVS)随机试验。测量时,所有婴儿状况良好,均无呼吸问题。与接受绒毛取样(n = 51)的婴儿相比,母亲接受羊水穿刺术的婴儿(n = 49)的功能残气量未发现显著差异。羊水穿刺术组(29.7 ml/kg)和绒毛取样组(30.4 ml/kg)均值差异的95%置信区间为-1.17至2.52 ml/kg。羊水穿刺术组有3名患者、绒毛取样组有2名患者的功能残气量低于24 ml/kg,低于参考范围的第2.5百分位数。这些初步结果表明,这两种孕早期产前诊断程序对产前肺生长的影响没有差异。

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