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体外受精/卵胞浆内单精子注射患者的潜在核型异常

Underlying karyotype abnormalities in IVF/ICSI patients.

作者信息

Chantot-Bastaraud S, Ravel C, Siffroi J P

机构信息

Université Pierre et Marie Curie-Paris 6, EA 1533, Paris, F-75012 France.

出版信息

Reprod Biomed Online. 2008 Apr;16(4):514-22. doi: 10.1016/s1472-6483(10)60458-0.

Abstract

Cytogenetic investigations are performed in couples asking for IVF or intracytoplasmic sperm injection (ICSI) treatment. These serve a diagnostic purpose because male or female infertility might have a chromosomal origin. Chromosomal aberrations found in these patients include numerical abnormalities, such as Klinefelter syndrome, XYY karyotype or Turner syndrome and its variants; sex reversions, such as XX males or XY females; and also structural abnormalities, such as Robertsonian or reciprocal translocations and inversions. Finding the chromosomal origin of infertility in a patient also has a prognostic value because it aids the management of pregnancies obtained after IVF or ICSI and may lead to a proposal of prenatal or preimplantation genetic diagnosis.

摘要

细胞遗传学检查是在寻求体外受精(IVF)或卵胞浆内单精子注射(ICSI)治疗的夫妇中进行的。这些检查具有诊断目的,因为男性或女性不育可能有染色体起源。在这些患者中发现的染色体畸变包括数目异常,如克氏综合征、XYY核型或特纳综合征及其变体;性反转,如XX男性或XY女性;以及结构异常,如罗伯逊易位或相互易位和倒位。找出患者不育的染色体起源也具有预后价值,因为它有助于管理IVF或ICSI后获得的妊娠,并可能导致提出产前或植入前基因诊断建议。

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