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绒毛取样

Chorionic Villus Sampling

作者信息

Maines Jaimie, Montero Freddy J.

机构信息

Penn State Health Milton S. Hershey Medical Center

Medical College of Georgia at Augusta University

Abstract

Chorionic villus sampling is a crucial tool in prenatal genetic diagnostic testing, typically performed between 10 and 13 weeks of gestation. Unlike screening tests, which estimate the risk of a genetic condition, chorionic villus sampling provides a definitive diagnosis by analyzing placental tissue for chromosomal abnormalities and specific genetic disorders. This early diagnostic capability is critical, as approximately 1 in 150 live births is affected by a chromosomal abnormality, and timely information can significantly impact the course of prenatal care. One of the primary advantages of chorionic villus sampling is its ability to deliver diagnostic results weeks earlier than amniocentesis, which is typically performed after 15 weeks of gestation. This earlier timeline provides pregnant patients with critical information during the first trimester, when more options are available for clinical decision-making. Early diagnosis through chorionic villus sampling can inform decisions regarding the continuation or termination of pregnancy. If termination is considered, having results in the first trimester allows access to earlier and safer procedures, which carry fewer medical risks and are often associated with reduced emotional and psychological burden. Based on chorionic villus sampling results, patients may choose to seek further genetic counseling, plan for specialized obstetric management, or pursue early referrals to pediatric subspecialists who can assist in preparing for potential neonatal interventions or long-term care needs.

摘要

绒毛取样是产前基因诊断检测中的一项关键手段,通常在妊娠10至13周进行。与评估遗传疾病风险的筛查测试不同,绒毛取样通过分析胎盘组织中的染色体异常和特定遗传疾病来提供明确的诊断。这种早期诊断能力至关重要,因为每150例活产中约有1例受染色体异常影响,及时获得的信息会对产前护理过程产生重大影响。绒毛取样的主要优势之一是它能够比羊膜穿刺术提前数周给出诊断结果,羊膜穿刺术通常在妊娠15周后进行。这一更早的时间线能在孕早期为孕妇提供关键信息,此时有更多临床决策选择。通过绒毛取样进行的早期诊断可为有关继续妊娠或终止妊娠的决策提供依据。如果考虑终止妊娠,在孕早期获得结果可采用更早且更安全的程序,这些程序医疗风险更低,通常还会减轻情感和心理负担。根据绒毛取样结果,患者可以选择寻求进一步的遗传咨询、制定专门的产科管理计划,或尽早转诊给儿科专科医生,他们可以协助为潜在的新生儿干预或长期护理需求做好准备。

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