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三倍体胎儿:评估孕妇血清甲胎蛋白水平极高时的一项重要考量因素。

Triploid fetus: an important consideration in the evaluation of very high maternal serum alpha-fetoprotein.

作者信息

Kazazian L C, Baramki T A, Thomas R L

机构信息

Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland.

出版信息

Prenat Diagn. 1989 Jan;9(1):27-30. doi: 10.1002/pd.1970090105.

Abstract

Two patients referred for evaluation of very high maternal serum alpha-fetoprotein (10-20 multiples of the median) were carrying triploid fetuses with placentas showing features of partial hydatidiform mole. The diagnosis of fetal triploidy should be considered when there is a very high maternal serum alpha-fetoprotein and no ultrasound evidence of open neural tube defect, ventral wall defect, or any other explanation. Therefore, chromosomal analysis of amniotic fluid cells in such cases is essential.

摘要

两名因母体血清甲胎蛋白水平极高(中位数的10 - 20倍)前来评估的患者怀有三倍体胎儿,其胎盘呈现部分性葡萄胎的特征。当母体血清甲胎蛋白水平极高且超声检查未发现开放性神经管缺陷、腹壁缺陷或任何其他解释时,应考虑胎儿三倍体的诊断。因此,在此类病例中对羊水细胞进行染色体分析至关重要。

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