Obstetrics and Gynecology Department, Ministry of Health Ankara City Hospital, Ankara, Turkey.
Department of Medical Genetics, Ministry of Health Ankara City Hospital, Ankara, Turkey.
Fetal Pediatr Pathol. 2021 Aug;40(4):281-289. doi: 10.1080/15513815.2019.1707919. Epub 2020 Jan 3.
We summarized our five-year chorionic villus sampling (CVS) experience with indications, detected chromosomal abnormalities and pregnancy outcomes. : This retrospective study examined 552 patients underwent CVS for prenatal diagnosis between 2014 and 2018. : The most frequent patients undergoing CVS indications were abnormal aneuploidy screening results, increased nuchal translucency, and cystic hygroma/edema. Of 552 CVS, 385 were normal, 141 abnormal. Eight were contaminated with maternal cells, 4 were mosaics, in 12 the culture failed, and in 2 there was inadequate sampling. The most frequent chromosomal abnormalities were trisomy 21, trisomy 18 and 45,X. Of 246 followed pregnancies, there were 165 live-births (67,1%), 58 pregnancy terminations (23,6%), and 23 pregnancy losses (9,3%). There were 5 procedure-related losses (2%), 3 of which were chromosomally normal. : Although significant advances have been made in noninvasive methods such as NIPT, CVS is still a reliable technique for cytogenetic diagnosis in early gestation.
我们总结了我们五年的绒毛膜绒毛取样(CVS)经验,包括适应证、检测到的染色体异常和妊娠结局。:这项回顾性研究检查了 552 名在 2014 年至 2018 年期间因产前诊断而行 CVS 的患者。:最常见的 CVS 适应证是异常非整倍体筛查结果、颈后透明带增加和囊状水瘤/水肿。552 例 CVS 中,385 例正常,141 例异常。8 例有母体细胞污染,4 例为嵌合体,12 例培养失败,2 例样本不足。最常见的染色体异常是 21 三体、18 三体和 45,X。在 246 例随访的妊娠中,有 165 例活产(67.1%),58 例终止妊娠(23.6%),23 例流产(9.3%)。有 5 例与操作相关的流产(2%),其中 3 例染色体正常。:尽管非侵入性方法如 NIPT 取得了重大进展,但 CVS 仍然是早期妊娠细胞遗传学诊断的可靠技术。