Liu Yi, Sun Xue-Cheng, Lv Guo-Jian, Liu Ji-Hong, Sun Chen, Mu Kai
Medical Genetics, Zibo Maternal & Child Health Hospital, Zibo, 255000, China.
J Comp Eff Res. 2023 May 31;12(6):e220168. doi: 10.57264/cer-2022-0168.
To examine prenatal diagnosis strategies through fetal karyotype analysis for 3117 pregnant women with genetic amniocentesis indications. According to the different indications for amniocentesis, the study was divided into 8 groups. The number of amniocentesis specimens, the number of abnormal karyotypes and the positive rate of each group were analyzed. Compared with prenatal serum screening, noninvasive prenatal DNA testing is more accurate and can effectively improve screening efficiency. Multiple prenatal diagnosis indicators (37.349%) were more likely to be detected than single prenatal diagnosis indicators (11.091%). None of the screening methods can completely replace amniocentesis, and for pregnant women with genetic indications for amniocentesis, amniocentesis is strongly recommended.
通过对3117例有遗传羊膜腔穿刺指征的孕妇进行胎儿核型分析来探讨产前诊断策略。根据羊膜腔穿刺的不同指征,将研究分为8组。分析每组羊膜腔穿刺标本数量、核型异常数量及阳性率。与产前血清筛查相比,无创产前DNA检测更准确,能有效提高筛查效率。多种产前诊断指标(37.349%)比单一产前诊断指标(11.091%)更易被检测到。没有一种筛查方法能完全替代羊膜腔穿刺,对于有羊膜腔穿刺遗传指征的孕妇,强烈推荐进行羊膜腔穿刺。