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ABO和Rh血型与脊髓脊膜膨出的风险

ABO and Rh Blood Groups and Risk of Myelomeningocele.

作者信息

Isik Semra, Cevik Serdar, Turhan Ali Haydar, Baygul Arzu, Hanimoglu Hakan

机构信息

Baskent University Istanbul Health Research and Application Center, Department of Neurosurgery, Istanbul, Turkey.

出版信息

Turk Neurosurg. 2020;30(3):449-453. doi: 10.5137/1019-5149.JTN.28913-19.2.

Abstract

AIM

To investigate the relationship between the distribution of ABO or Rhesus (Rh) blood group antigens and the incidence of myelomeningocele.

MATERIAL AND METHODS

A retrospective data was reviewed for all myelomeningocele patients operated at a tertiary academic hospital between years 2014 and 2019. Age, sex, delivery method, physical and neurological examination findings, and radiological findings alongside with blood type of each patient were recorded. The data of blood group distribution among the study patients was compared to the data of healthy individuals in the same region.

RESULTS

Patients with group B and AB showed a higher chance of developing myelomeningocele. Rh-positive blood group was associated with high incidence of myelomeningocele (93.5%), whereas Rh-negative blood group showed least association (6.5%). Rh-positive blood group was also found to be more frequent in patients with myelomeningocele with hydrocephalus and Chiari malformation.

CONCLUSION

The findings of this study show that ABO and Rh blood groups have an effect on the development of myelomeningocele under the influence of environmental or genetic factors.

摘要

目的

探讨ABO血型或恒河猴(Rh)血型抗原分布与脊髓脊膜膨出发病率之间的关系。

材料与方法

回顾性分析2014年至2019年在一家三级学术医院接受手术治疗的所有脊髓脊膜膨出患者的数据。记录每位患者的年龄、性别、分娩方式、体格检查和神经学检查结果、影像学检查结果以及血型。将研究患者的血型分布数据与同一地区健康个体的数据进行比较。

结果

B型和AB型患者发生脊髓脊膜膨出的几率更高。Rh阳性血型与脊髓脊膜膨出发病率高相关(93.5%),而Rh阴性血型的相关性最小(6.5%)。在合并脑积水和Chiari畸形的脊髓脊膜膨出患者中,Rh阳性血型也更为常见。

结论

本研究结果表明,在环境或遗传因素的影响下,ABO和Rh血型对脊髓脊膜膨出的发生有影响。

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