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突尼斯活产儿先天性畸形的流行病学:一项回顾性研究。

Epidemiology of congenital malformations in Tunisian liveborns: a retrospective study.

作者信息

Nasri Kaouther, Ben Jamaa Nadia, Aloui Mariem, Mansouri Safouane, Sdiri Yosra, Cheour Mariem, Kacem Samia

机构信息

Faculty of Sciences of Bizerte, University of Carthage, 7021 Zarzouna, Bizerte, Tunisia.

Department of Embryo-Fetopathology, Center for Maternity and Neonatology of Tunis, Tunis El Manar University, 1007 Tunis, Tunisia.

出版信息

Afr Health Sci. 2024 Sep;24(3):333-344. doi: 10.4314/ahs.v24i3.37.

DOI:10.4314/ahs.v24i3.37
PMID:40777972
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12327126/
Abstract

OBJECTIVE

To identify the various congenital malformations in liveborns in the neonatology service within the center of maternity and neonatology of Tunis (CMNT).

METHODS

This is a retrospective study of liveborns with congenital malformations hospitalized during one year from 1rst January to 31 December 2016.

RESULTS

The profile of malformations was dominated by polymalformations (22.29%), followed by chromosomal aberrations (21.14%), cardiovascular malformations (16.00%), and system nervous malformations (11.43%).Comparisons of liveborns and parental characteristics between all congenital malformations subtypes have shown significant differences in liveborns sex, consanguinity, and maternal age. Comparisons between malformed newborns and malformed fetuses have shown significant differences in consanguinity, rhesus type, maternal origin and parity.

CONCLUSION

It seems important to set a careful surveillance of pregnancies at risk of developing congenital anomalies, systematic supplementation of vitamins and folic acid, and a national registry of congenital malformations.

摘要

目的

确定突尼斯妇产及新生儿中心(CMNT)新生儿科活产儿中的各种先天性畸形。

方法

这是一项对2016年1月1日至12月31日期间住院的患有先天性畸形的活产儿进行的回顾性研究。

结果

畸形特征以多发畸形为主(22.29%),其次是染色体畸变(21.14%)、心血管畸形(16.00%)和神经系统畸形(11.43%)。所有先天性畸形亚型的活产儿与父母特征比较显示,活产儿性别、近亲结婚情况和母亲年龄存在显著差异。畸形新生儿与畸形胎儿的比较显示,近亲结婚情况、恒河猴血型、母亲籍贯和产次存在显著差异。

结论

对有发生先天性异常风险的妊娠进行仔细监测、系统补充维生素和叶酸以及建立全国先天性畸形登记册似乎很重要。

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本文引用的文献

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Association of MTHFR C677T, MTHFR A1298C, and MTRR A66G Polymorphisms with Neural Tube Defects in Tunisian Parents.MTHFR C677T、MTHFR A1298C 和 MTRR A66G 多态性与突尼斯父母神经管缺陷的关联。
Pathobiology. 2019;86(4):190-200. doi: 10.1159/000499498. Epub 2019 Jun 25.
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Fetopathological examination for the fetuses with Down syndrome in Tunisia: Epidemiological study and associated malformations.突尼斯唐氏综合征胎儿的胎儿病理学检查:流行病学研究及相关畸形
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Congenital anomalies in Tunisia: Frequency and risk factors.
突尼斯的先天性异常:发生率及风险因素。
J Gynecol Obstet Hum Reprod. 2017 Oct;46(8):651-655. doi: 10.1016/j.jogoh.2017.05.006. Epub 2017 May 21.
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The Implications of Parental Consanguinity on the Care of Neonates.父母近亲结婚对新生儿护理的影响。
Adv Neonatal Care. 2016 Aug;16(4):273-82. doi: 10.1097/ANC.0000000000000317.
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New development of the yolk sac theory in diabetic embryopathy: molecular mechanism and link to structural birth defects.糖尿病胚胎病中卵黄囊理论的新进展:分子机制及其与结构性出生缺陷的关联
Am J Obstet Gynecol. 2016 Feb;214(2):192-202. doi: 10.1016/j.ajog.2015.09.082. Epub 2015 Sep 30.
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The association between maternal parity and birth defects.母亲生育次数与出生缺陷之间的关联。
Birth Defects Res A Clin Mol Teratol. 2015 Feb;103(2):144-56. doi: 10.1002/bdra.23360.
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[Identification of risk factors for congenital malformations].[先天性畸形危险因素的识别]
Rev Med Chil. 2014 Nov;142(11):1431-9. doi: 10.4067/S0034-98872014001100010.
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An increase in spina bifida cases in Tunisia, 2008-2011.2008 - 2011年突尼斯脊柱裂病例增加。
Pathol Res Pract. 2015 May;211(5):369-73. doi: 10.1016/j.prp.2014.12.011. Epub 2015 Jan 6.
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[Prevalence of congenital malformations at birth in Chilean maternity hospitals].[智利产科医院出生时先天性畸形的患病率]
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Effect of consanguinity on birth defects in Saudi women: results from a nested case-control study.近亲结婚对沙特女性出生缺陷的影响:一项巢式病例对照研究的结果
Birth Defects Res A Clin Mol Teratol. 2015 Feb;103(2):100-4. doi: 10.1002/bdra.23331. Epub 2014 Oct 31.