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[瑞士产前诊断的现状]

[Status of prenatal diagnosis in Switzerland].

作者信息

Schmid W

出版信息

Soz Praventivmed. 1985;30(1):18-22. doi: 10.1007/BF02075723.

DOI:10.1007/BF02075723
PMID:2579515
Abstract

In Swiss laboratories of Basel, Berne, Geneva, Lausanne, Locarno and Zurich 19'872 prenatal diagnosis were carried out from 1971 to 1983. The frequency of the tests carried out for the different indications and the numbers of the detected anomalies are presented. In 12'485 tests performed because of advanced maternal age (35 years and older) 241 chromosome anomalies were diagnosed with 125 trisomies 21 among them. In contrast, only 7 trisomies 21 were found in 5'225 samples from women below 35 years. Prevention of Down's syndrome was the prevalent motivation of 93 percent of the pregnant women. Approx. 42 percent of the Swiss women, 35 years and older, requested an amniocentesis in the course of the last few years. Remarkable progress was made in the ultrasound diagnosis of fetal malformations. Developments in the field of first trimester prenatal diagnosis and in the use of DNA technology for the diagnosis of monogenic defects are dealt with.

摘要

1971年至1983年期间,瑞士巴塞尔、伯尔尼、日内瓦、洛桑、洛迦诺和苏黎世的实验室共进行了19872例产前诊断。文中列出了针对不同指征所进行检测的频率以及检测出的异常情况数量。在因孕妇年龄偏大(35岁及以上)而进行的12485例检测中,诊断出241例染色体异常,其中125例为21三体综合征。相比之下,在35岁以下女性的5225份样本中,仅发现7例21三体综合征。预防唐氏综合征是93%孕妇进行检测的主要动机。在过去几年中,约42%的35岁及以上瑞士女性要求进行羊膜穿刺术。胎儿畸形的超声诊断取得了显著进展。文中还讨论了孕早期产前诊断领域以及利用DNA技术诊断单基因缺陷方面的进展。

相似文献

1
[Status of prenatal diagnosis in Switzerland].[瑞士产前诊断的现状]
Soz Praventivmed. 1985;30(1):18-22. doi: 10.1007/BF02075723.
2
[Prenatal diagnosis. Review, personal and prospective studies].[产前诊断。综述、个人及前瞻性研究]
Schweiz Med Wochenschr. 1979 Jul 7;109(27):998-1010.
3
[Prenatal diagnosis of chromosome abnormalities and genetic metabolic disorders (proceedings)].[染色体异常与遗传代谢疾病的产前诊断(会议论文集)]
Arch Gynakol. 1977 Jul 29;224(1-4):159-66. doi: 10.1007/BF00679500.
4
Prenatal screening for Down's syndrome with use of maternal serum markers.使用母体血清标志物进行唐氏综合征的产前筛查。
N Engl J Med. 1992 Aug 27;327(9):588-93. doi: 10.1056/NEJM199208273270902.
5
Prenatal diagnosis of genetic disorders.遗传性疾病的产前诊断。
South Med J. 1978 Feb;71(2):201-6. doi: 10.1097/00007611-197802000-00031.
6
[Applications and limits of prenatal diagnosis (author's transl)].[产前诊断的应用与局限(作者译)]
Padiatr Padol. 1982;17(2):391-8.
7
Review of current progress: antenatal diagnosis.当前进展回顾:产前诊断
Aust N Z J Obstet Gynaecol. 1980 Feb;20(1):1-9. doi: 10.1111/j.1479-828x.1980.tb00886.x.
8
Reducing the need for amniocentesis in women 35 years of age or older with serum markers for screening.减少35岁及以上有血清标志物用于筛查的女性进行羊膜穿刺术的需求。
N Engl J Med. 1994 Apr 21;330(16):1114-8. doi: 10.1056/NEJM199404213301603.
9
[Prenatal diagnosis of genetic defects from the amniotic fluid. Report of experiences].[羊水基因缺陷的产前诊断。经验报告]
Zentralbl Gynakol. 1977;99(12):725-34.
10
[What's new in fetal medicine?].[胎儿医学有哪些新进展?]
Arch Pediatr. 2002 Feb;9(2):172-86. doi: 10.1016/s0929-693x(01)00728-x.

本文引用的文献

1
Prenatal diagnosis of cleft lip and palate by ultrasound.超声产前诊断唇腭裂
Prenat Diagn. 1982 Oct;2(4):313-7. doi: 10.1002/pd.1970020412.
2
Efficient direct chromosome analyses and enzyme determinations from chorionic villi samples in the first trimester of pregnancy.妊娠早期绒毛膜绒毛样本的高效直接染色体分析和酶测定。
Hum Genet. 1983;63(4):349-57. doi: 10.1007/BF00274761.
3
Prenatal diagnosis of anhidrotic ectodermal dysplasia.无汗性外胚层发育不良的产前诊断
Prenat Diagn. 1984 Mar-Apr;4(2):85-98. doi: 10.1002/pd.1970040202.
4
Chorionic villi sampling under direct vision.直视下绒毛取样。
Clin Genet. 1984 Oct;26(4):297-300. doi: 10.1111/j.1399-0004.1984.tb01062.x.
5
[Current state of prenatal genetic diagnosis].
Schweiz Rundsch Med Prax. 1984 Feb 21;73(8):239-43.