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[特纳综合征与妊娠]

[Turner's syndrome and pregnancy].

作者信息

Pasqualini-Adamo J

机构信息

Maternité, CHG, Romans.

出版信息

Rev Fr Gynecol Obstet. 1988 Nov;83(11):717-21.

PMID:3060965
Abstract

After briefly summarizing Turner's syndrome, the authors reviewed several cases reported in the literature where pregnancy occurred in association with this syndrome. From this study it was revealed that pregnancy is exceptional in the course of Turner's syndrome since only 2 p. cent of women with this disorder conceive. Such an outcome may be explained by a reduced number of ovarian follicles. The poor prognosis when pregnancy does occur is represented by a 38 p. cent incidence of miscarriage, and an 18.4 p. cent rate of fetal malformations including a 6 p. cent rate of trisomy 21 (Down's syndrome). This finding requires that the patient be taken care of in a specialized department of obstetrics-gynecology, necessitates prenatal diagnosis and poses an ethical problem as to the obstetrical future of these patients.

摘要

在简要概述特纳综合征后,作者回顾了文献中报道的几例与该综合征相关的妊娠病例。从这项研究中发现,特纳综合征病程中妊娠情况罕见,因为患有这种疾病的女性只有2%能够怀孕。这种结果可能是由于卵巢卵泡数量减少所致。妊娠发生时预后不良表现为流产发生率为38%,胎儿畸形率为18.4%,其中21三体综合征(唐氏综合征)发生率为6%。这一发现要求患者在妇产科专科进行护理,需要进行产前诊断,并就这些患者的产科未来引发了伦理问题。

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