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中枢神经系统异常及相关异常胎儿的传统染色体分析:有什么变化吗?

Conventional Chromosome Analysis of Fetuses with Central Nervous System Anomalies and Associated Anomalies: Is Anything Changed?

作者信息

Ekmekci Emre, Demirel Emine, Gencdal Servet

机构信息

Maternal-Fetal Medicine Unit, Department of Obstetrics and Gynecology, Faculty of Medicine, Izmir Katip Celebi University, Izmir 35330, Turkey.

Obstetrics and Gynecology Clinic, Izmir Ataturk Education and Research Hospital, Ministry of Health, Izmir 35330, Turkey.

出版信息

Med Sci (Basel). 2018 Feb 6;6(1):10. doi: 10.3390/medsci6010010.

Abstract

Central nervous system (CNS) abnormalities are often isolated but can accompany various genetic syndromes. In this study, we evaluated conventional karyotype results and associated findings of fetuses that were diagnosed with CNS abnormalities. Cases included in the study were diagnosed with fetal CNS anomalies and underwent conventional karyotyping. Conventional karyotype results of subjects were compared with karyotype results of fetal karyotyped patients as a result of maternal anxiety in a two-year period. In this period, 69 patients were diagnosed with fetal CNS anomalies and 64 of them underwent invasive fetal karyotyping. Of these, 32 patients had isolated CNS anomalies, while 32 were associated with other anomalies. There was no significant difference between karyotype results when compared with the control group ( = 0.76). Apart from some specific anomalies, the aneuploidy rate does not significantly differ between fetuses with CNS anomalies and the control group. Advanced genetic evaluation may provide additional diagnostic benefits, especially for this group.

摘要

中枢神经系统(CNS)异常通常是孤立存在的,但也可能伴随各种遗传综合征。在本研究中,我们评估了被诊断为中枢神经系统异常的胎儿的常规核型分析结果及相关发现。纳入本研究的病例均被诊断为胎儿中枢神经系统异常,并接受了常规核型分析。将研究对象的常规核型分析结果与因孕妇焦虑在两年期间进行胎儿核型分析的患者的核型结果进行比较。在此期间,69例患者被诊断为胎儿中枢神经系统异常,其中64例接受了侵入性胎儿核型分析。其中,32例患者有孤立的中枢神经系统异常,32例与其他异常相关。与对照组相比,核型结果无显著差异(P = 0.76)。除了一些特定异常外,中枢神经系统异常胎儿与对照组之间的非整倍体率无显著差异。先进的基因评估可能会提供额外的诊断益处,尤其是对于这一群体。

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