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在哈马丹市沙希德·贝赫什提医院对有2次或3次反复流产的夫妇进行染色体异常和异态性研究。

The study of chromosomal abnormalities and heteromorphism in couples with 2 or 3 recurrent abortions in Shahid Beheshti Hospital of Hamedan.

作者信息

Asgari Atefeh, Ghahremani Safieh, Saeedi Solmaz, Kamrani Ebrahim

机构信息

Islamic Azad University, Science and Research Branch, Tehran, Iran.

Cytogenetic Laboratories, Shahid Beheshti Hospital, Hamedan University of Medical Sciences, Hamedan, Iran.

出版信息

Iran J Reprod Med. 2013 Mar;11(3):201-8.

Abstract

BACKGROUND

Different studies show that chromosomal balance translocation in the parents can cause recurrent spontaneous abortions. Incidence of chromosomal translocation abnormalities in couples with repeated abortions is from 0% to 31%.

OBJECTIVE

The purpose of this research was studying the presence or absence of chromosomal abnormalities and heteromorphism in couples with recurrent abortions and also the role of this anomaly in the abortions.

MATERIALS AND METHODS

This study is a cross sectional descriptive study which have investigated 75 couples who had three abortions or more, and 65 couples who had two abortions that referred by gynecologist to the lab of Beheshti Hospital in Hamedan for cytogenetical investigation. Also 40 healthy individuals without history of abortion investigated as control group.GTG bonding technique (staining banding with gymsa and trypsin) is used in this study.

RESULTS

Frequency of chromosomal abnormalities and heteromorphism among couples with three or more abortions were reported respectively 5.3% and 9.3%. This frequency in couples with two abortions was respectively 3.07%and 6.15%. The frequency of chromosomal heteromorphism in control group was 7.5% and no chromosomal abnormalities were observed in them.

CONCLUSION

This study shows that chromosomal abnormality can be one reason of recurrent spontaneous abortions and more abortion increases the probability of this anomaly. Also, existence of chromosomal heteromorphism in the general population without clinical abortion symptoms shows that chromosomal heteromorphism cannot be the reason of these spontaneous abortions.

摘要

背景

不同研究表明,父母的染色体平衡易位可导致反复自然流产。反复流产夫妇中染色体易位异常的发生率为0%至31%。

目的

本研究的目的是探讨反复流产夫妇中染色体异常和异态性的有无,以及这种异常在流产中的作用。

材料与方法

本研究为横断面描述性研究,调查了75对有三次或更多次流产史的夫妇,以及65对有两次流产史的夫妇,这些夫妇由妇科医生转诊至哈马丹贝赫什提医院实验室进行细胞遗传学检查。另外,将40名无流产史的健康个体作为对照组。本研究采用GTG显带技术(吉姆萨和胰蛋白酶染色显带)。

结果

三次或更多次流产夫妇中染色体异常和异态性的发生率分别为5.3%和9.3%。两次流产夫妇中的这一发生率分别为3.07%和6.15%。对照组中染色体异态性的发生率为7.5%,未观察到染色体异常。

结论

本研究表明,染色体异常可能是反复自然流产的原因之一,流产次数越多,出现这种异常的可能性越大。此外,在无临床流产症状的普通人群中存在染色体异态性,表明染色体异态性不是这些自然流产的原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6dc/3943224/01fd83b5ca38/ijrm-11-201-g001.jpg

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