Biswas Arijit, Choudhry Priya, Mittal Anuradha, Meena Arvind, Ranjan Ravi, Choudhry V P, Saxena Renu
Department of Haematology, AIIMS, Ansari Nagar, New Delhi, India.
Clin Appl Thromb Hemost. 2008 Jan;14(1):102-4. doi: 10.1177/1076029607303774. Epub 2007 Dec 26.
Recurrent fetal loss is a frequent health problem. Data accumulated over the past few years have suggested a possible correlation between thrombophilia and fetal loss. Although a clear association has been established between fetal loss and certain thrombophilic states, such as antiphospholipid antibody syndromes, antithrombin deficiency, and combined defects, reports on the prevalence of inherited prothrombotic defects such as factor V Leiden mutation and methylene tetrahydrofolate reductase C677T polymorphism in fetal loss are contradictory. The prevalence of these 2 mutations in Asian Indians with recurrent fetal loss has not yet been studied. In light of this, the present study looked at the prevalence of these mutations in 85 patients with spontaneous recurrent abortion and 31 controls. The authors did not find any significant role of these mutations in the development of recurrent abortion.
复发性流产是一个常见的健康问题。过去几年积累的数据表明,血栓形成倾向与流产之间可能存在关联。虽然流产与某些血栓形成倾向状态(如抗磷脂抗体综合征、抗凝血酶缺乏和联合缺陷)之间已明确建立关联,但关于遗传性血栓前体缺陷(如因子V Leiden突变和亚甲基四氢叶酸还原酶C677T多态性)在流产中的患病率报告相互矛盾。在亚洲印度裔复发性流产患者中,这两种突变的患病率尚未得到研究。鉴于此,本研究观察了85例自然复发性流产患者和31例对照中这些突变的患病率。作者未发现这些突变在复发性流产发生过程中起任何显著作用。