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胎儿非整倍体妊娠中的母血清人绒毛膜促性腺激素和妊娠相关血浆蛋白A

Maternal serum hCG and SP1 in pregnancies with fetal aneuploidy.

作者信息

Bartels I, Thiele M, Bogart M H

机构信息

Institut für Humangenetik, Universitat Göttingen, West Germany.

出版信息

Am J Med Genet. 1990 Oct;37(2):261-4. doi: 10.1002/ajmg.1320370220.

DOI:10.1002/ajmg.1320370220
PMID:2147362
Abstract

In a retrospective study, maternal serum levels of chorionic gonadotropin (hCG) and pregnancy specific beta 1-glycoprotein (SP1) from 63 pregnancies with aneuploid fetuses were compared to the levels observed in pregnancies with a chromosomally normal fetus. Thirty-eight percent of the abnormal pregnancies had elevated levels (greater than 2.0 multiples of the normal median [MoM]) of hCG and 14% had depressed levels (less than 0.25 MoM). With a false-positive rate of 5%, 44% of the 42 fetuses with trisomy 21 would have been detected by elevated hCG levels. With the same false-positive rate, only 21% had elevated SP1 levels. hCG was significantly depressed in 12 pregnancies affected by fetal trisomy 18.

摘要

在一项回顾性研究中,将63例怀有非整倍体胎儿的孕妇血清绒毛膜促性腺激素(hCG)和妊娠特异性β1-糖蛋白(SP1)水平与怀有染色体正常胎儿的孕妇所观察到的水平进行了比较。38%的异常妊娠hCG水平升高(大于正常中位数的2.0倍[MoM]),14%的hCG水平降低(小于0.25 MoM)。假阳性率为5%时,42例21-三体胎儿中有44%可通过hCG水平升高检测出来。假阳性率相同时,只有21%的胎儿SP1水平升高。12例受18-三体胎儿影响的妊娠中,hCG水平显著降低。

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Risk of fetal Down's syndrome based on maternal age and varying combinations of maternal serum markers.
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