Dey Madhusudan, Sharma Sumedha, Aggarwal Sumita
Department of Obstetrics and Gynaecology, Armed Forces Medical College (AFMC), Pune, India.
N Am J Med Sci. 2013 Mar;5(3):182-90. doi: 10.4103/1947-2714.109180.
Aneuploidies are a major cause of perinatal morbidity and mortality. Therefore, it is the most common indication for invasive prenatal diagnosis. Initially, screening for aneuploidies started with maternal age risk estimation. Later on, serum testing for biochemical markers and ultrasound markers were added. Women detected to be at high-risk for aneuploidies were offered invasive testing. New research is now focusing on non-invasive prenatal testing using cell-free fetal DNA in maternal circulation. The advantage of this technique is the ability to reduce the risk of miscarriage associated with invasive diagnostic procedures. However, this new technique has its own set of technical limitations and ethical issues at present and careful consideration is required before broad implementation.
非整倍体是围产期发病和死亡的主要原因。因此,它是侵入性产前诊断最常见的指征。最初,非整倍体筛查始于对孕妇年龄风险的评估。后来,增加了生化标志物的血清检测和超声标志物检测。被检测出非整倍体高风险的女性会接受侵入性检测。目前新的研究集中在利用母体循环中的游离胎儿DNA进行非侵入性产前检测。这项技术的优点是能够降低与侵入性诊断程序相关的流产风险。然而,这项新技术目前有其自身的一系列技术限制和伦理问题,在广泛应用之前需要仔细考虑。