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通过绒毛膜活检进行胎儿基因诊断:来自单个中心的五年经验评估。

Fetal Genetic Diagnosis by Chorionic Villus Sampling: Evaluation of the Five-Year Experience from a Single Center.

机构信息

Obstetrics and Gynecology Department, Ministry of Health Ankara City Hospital, Ankara, Turkey.

Department of Medical Genetics, Ministry of Health Ankara City Hospital, Ankara, Turkey.

出版信息

Fetal Pediatr Pathol. 2021 Aug;40(4):281-289. doi: 10.1080/15513815.2019.1707919. Epub 2020 Jan 3.

Abstract

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.

摘要

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。

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