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疾病的产前诊断。

Prenatal diagnosis of disease.

作者信息

Insley J

出版信息

J R Coll Physicians Lond. 1980 Apr;14(2):100-5.

PMID:6154140
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5373327/
Abstract

We are still in the early days as far as antenatal diagnosis of fetal disease and abnormality are concerned. All of the techniques show a high degree of accuracy if used in the correct circumstances but, apart from the use of maternal blood to assess the Rhesus status and screen for neural tube defects and amniocentesis to search for age-dependent mongolism, present techniques are too cumbersome, inaccurate and dangerous to be offered as routine antenatal tests. The rapid development in ultrasound equipment and expertise and the recent advances in fetal blood sampling and biochemistry suggest that there will be continued and rapid expansion within the field.

摘要

就胎儿疾病和异常的产前诊断而言,我们仍处于早期阶段。如果在正确的情况下使用,所有这些技术都显示出高度的准确性,但是,除了使用母体血液来评估恒河猴血型状态、筛查神经管缺陷以及使用羊膜穿刺术来检测与年龄相关的唐氏综合征外,目前的技术过于繁琐、不准确且危险,无法作为常规产前检查提供。超声设备和专业知识的迅速发展以及胎儿血液采样和生物化学方面的最新进展表明,该领域将持续快速扩展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94b5/5373327/38716898f186/jrcollphyslond90308-0041-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94b5/5373327/096f6c9b88ca/jrcollphyslond90308-0038-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94b5/5373327/38716898f186/jrcollphyslond90308-0041-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94b5/5373327/096f6c9b88ca/jrcollphyslond90308-0038-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94b5/5373327/38716898f186/jrcollphyslond90308-0041-a.jpg

相似文献

1
Prenatal diagnosis of disease.疾病的产前诊断。
J R Coll Physicians Lond. 1980 Apr;14(2):100-5.
2
Amniotic-fluid alpha-fetoprotein measurement in antenatal diagnosis of anencephaly and open spina bifida in early pregnancy. Second report of the U.K. Collaborative Study on Alpha-fetoprotein in Relation to Neural-tube Defects.妊娠早期羊水中甲胎蛋白测定在无脑儿和开放性脊柱裂产前诊断中的应用。英国神经管缺陷相关甲胎蛋白协作研究的第二次报告。
Lancet. 1979 Sep 29;2(8144):651-62.
3
Early prenatal diagnosis of neural-tube defects by ultrasound-guided fetoscopy.
Lancet. 1978 May 27;1(8074):1128-9. doi: 10.1016/s0140-6736(78)90303-3.
4
Amniotic fluid protein and antenatal diagnosis.羊水蛋白与产前诊断
Ric Clin Lab. 1982 Jan-Mar;12(1):231-9. doi: 10.1007/BF02909330.
5
[Prenatal diagnosis of chromosome abnormalities and genetic metabolic disorders (proceedings)].[染色体异常与遗传代谢疾病的产前诊断(会议论文集)]
Arch Gynakol. 1977 Jul 29;224(1-4):159-66. doi: 10.1007/BF00679500.
6
Organization of amniocentesis for antenatal genetic diagnosis.用于产前基因诊断的羊膜穿刺术的组织安排。
Acta Obstet Gynecol Scand. 1978;57(1):7-11. doi: 10.3109/00016347809154192.
7
Four years' experience of maternal alpha-fetoprotein screening and its effect on the pattern of antenatal care.母体甲胎蛋白筛查四年经验及其对产前护理模式的影响。
Prenat Diagn. 1981 Apr;1(2):91-101. doi: 10.1002/pd.1970010203.
8
[Prenatal genetic diagnosis. Report on 150 cases investigated in Zurich (author's transl)].
Schweiz Rundsch Med Prax. 1975 May 20;64(20):612-9.
9
[Contribution of amniocentesis to prenatal screening of neural tube closing defects: evaluation of 10 years of a center's experience].[羊膜穿刺术在神经管闭合缺陷产前筛查中的贡献:某中心十年经验评估]
J Genet Hum. 1985 Sep;33(3-4):339-45.
10
Antenatal ultrasonic diagnosis of genetic defects: present status.产前超声诊断遗传缺陷:现状
Clin Obstet Gynecol. 1981 Dec;24(4):1103-20. doi: 10.1097/00003081-198112000-00009.

本文引用的文献

1
Biochemical development of surface activity in mammalian lung. IV. Pulmonary lecithin synthesis in the human fetus and newborn and etiology of the respiratory distress syndrome.哺乳动物肺表面活性物质的生化发育。IV. 人类胎儿和新生儿的肺卵磷脂合成及呼吸窘迫综合征的病因学。
Pediatr Res. 1972 Feb;6(2):81-99. doi: 10.1203/00006450-197202000-00002.
2
Letter: Amniotic-fluid macrophages and anencephaly.信函:羊水巨噬细胞与无脑畸形。
Lancet. 1973 Nov 10;2(7837):1098-9. doi: 10.1016/s0140-6736(73)92720-7.
3
Alpha-fetoprotein in the antenatal diagnosis of anencephaly and spina bifida.
甲胎蛋白在无脑儿和脊柱裂产前诊断中的应用
Lancet. 1972 Jul 29;2(7770):197-9. doi: 10.1016/s0140-6736(72)91634-0.
4
Prenatal diagnosis of hemoglobinopathies. A review of 15 cases.血红蛋白病的产前诊断。15例病例回顾。
N Engl J Med. 1976 Dec 23;295(26):1437-43. doi: 10.1056/NEJM197612232952601.
5
Prenatal diagnosis of classic hemophilia.经典型血友病的产前诊断
N Engl J Med. 1979 Apr 26;300(17):937-41. doi: 10.1056/NEJM197904263001701.
6
Rapidly adhering amniotic-fluid cells and prenatal diagnosis of neural-tube defects.快速黏附羊水细胞与神经管缺陷的产前诊断
Lancet. 1979 Jul 14;2(8133):99. doi: 10.1016/s0140-6736(79)90150-8.
7
Plasma assay of fetal factors VIIIC and IX for prenatal diagnosis of haemophilia.血浆中胎儿凝血因子VIIIC和IX的检测用于血友病的产前诊断。
Lancet. 1979 Jun 23;1(8130):1309-11. doi: 10.1016/s0140-6736(79)91946-9.