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核型分析联合微珠附着细菌人工染色体技术在产前诊断中的应用

Application of karyotype analysis combined with BACs-on-Beads for prenatal diagnosis.

作者信息

Fang Yuan, Wang Guangming, Gu Lize, Wang Jingjing, Suo Feng, Gu Maosheng, Gou Lingshan

机构信息

Center for Genetic Medicine, Xuzhou Maternity and Child Health Care Hospital, Xuzhou, Jiangsu 221009, P.R. China.

Department of Radiology, Xuzhou Central Hospital, Xuzhou, Jiangsu 221009, P.R. China.

出版信息

Exp Ther Med. 2018 Oct;16(4):2895-2900. doi: 10.3892/etm.2018.6574. Epub 2018 Aug 6.

Abstract

This study explored the clinical application of karyotype analysis combined with BACs-on-Beads (BoBs) technology in prenatal diagnosis. A total of 558 pregnant women who were admitted to Xuzhou Maternity and Child Health Care Hospital from July 2015 to June 2017 were enrolled in this study. All the subjects underwent amniocentesis. BoBs assay was performed for subjects in the observation group, and karyotype analysis was performed for subjects in the control group. The main technical indicators of subjects in the two groups were summarized, and cases of chromosome abnormalities were further evaluated. Clinical follow-up of their pregnancy and neonatal birth was undertaken. Finally, the chromosomal manifestations of these patients were compared with those of normal male and normal female, as well as common chromosomal abnormalities. All 558 pregnant women underwent amniocentesis again. Karyotype analysis combined with BoBs assay of amniotic fluid was performed. Cases of chromosomal abnormalities detected were: 75 cases of trisomy 21, 20 cases of trisomy 18, 1 case of trisomy 13, 27 cases of sex chromosomal abnormalities, 12 cases of balanced chromosome translocation, and 2 cases of chromosome microdeletion. The results indicated that karyotype analysis combined with BoBs technology for prenatal diagnosis was easy to perform, and provided quick results with high accuracy. The two testing methods were complementary to each other, which significantly improved the diagnostic rate of chromosomal abnormalities thus reducing birth defects and guiding continued pregnancy of high-risk pregnant women.

摘要

本研究探讨了核型分析联合Beads芯片技术(BoBs)在产前诊断中的临床应用。选取2015年7月至2017年6月在徐州市妇幼保健院住院的558例孕妇纳入本研究。所有研究对象均接受羊膜腔穿刺术。观察组研究对象进行BoBs检测,对照组研究对象进行核型分析。总结两组研究对象的主要技术指标,并对染色体异常病例进行进一步评估。对其妊娠及新生儿出生情况进行临床随访。最后,将这些患者的染色体表现与正常男性、正常女性以及常见染色体异常的表现进行比较。所有558例孕妇均再次接受羊膜腔穿刺术。对羊水进行核型分析联合BoBs检测。检测出的染色体异常病例有:21三体75例、18三体20例、13三体1例、性染色体异常27例、染色体平衡易位12例、染色体微缺失2例。结果表明,核型分析联合BoBs技术用于产前诊断操作简便,结果快速且准确性高。两种检测方法相互补充,显著提高了染色体异常的诊断率,从而减少出生缺陷,指导高危孕妇继续妊娠。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02b6/6125840/3c85395ad9bf/etm-16-04-2895-g00.jpg

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