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9例7q11.23重复综合征胎儿的产前超声表现及基因诊断

[Prenatal ultrasonographic manifestations and genetic diagnosis of nine fetuses with 7q11.23 duplication syndrome].

作者信息

Li Pengyun, Guo Jing, Che Jia, Cui Fangying, Lyu Yuexia, Zhang Hua, Li Ying, Liu Ling

机构信息

Prenatal Diagnosis Center, the Third Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, China.

出版信息

Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2024 Mar 10;41(3):266-270. doi: 10.3760/cma.j.cn511374-20221117-00795.

Abstract

OBJECTIVE

To analyze ultrasonographic manifestations and genetic etiology of nine fetuses with 7q11.23 duplication syndrome.

METHODS

Ultrasonographic finding, pregnancy outcome and follow-up of nine fetuses detected at the Prenatal Diagnosis Center of the Third Affiliated Hospital of Zhengzhou University from January 2017 to December 2021 were retrospectively analyzed.

RESULTS

The fetuses were found to harbor a duplication in the 7q11.23 region by chromosomal microarray analysis (CMA). Among these, five had shown ventriculomegaly, including four syndromic and one non-syndromic. For the remainders, one had ventricular septal defect and mild tricuspid regurgitation, one had echogenic intracardiac focus, whilst another two were normal. Five couples had accepted parental verification, and the results confirmed that the 7q11.23 duplication carried by their fetuses were de novo in origin. Following genetic counseling, seven couples had opted to terminate their pregnancies. Two fetuses were delivered at full term, and follow-up had found no abnormalities.

CONCLUSION

Prenatal ultrasonographic manifestations of fetuses with 7q11.23 duplication syndrome are variable. CMA can provide assistance for their diagnosis and genetic counseling.

摘要

目的

分析9例7q11.23重复综合征胎儿的超声表现及遗传病因。

方法

回顾性分析2017年1月至2021年12月在郑州大学第三附属医院产前诊断中心检出的9例胎儿的超声检查结果、妊娠结局及随访情况。

结果

通过染色体微阵列分析(CMA)发现胎儿7q11.23区域存在重复。其中5例出现脑室扩大,包括4例综合征型和1例非综合征型。其余胎儿中,1例有室间隔缺损和轻度三尖瓣反流,1例有心内强回声灶,另外2例正常。5对夫妇接受了父母验证,结果证实其胎儿携带的7q11.23重复为新发。经过遗传咨询,7对夫妇选择终止妊娠。2例胎儿足月分娩,随访未发现异常。

结论

7q11.23重复综合征胎儿的产前超声表现多样。CMA可为其诊断及遗传咨询提供帮助。

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