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神经管和腹壁胎儿开放性缺陷中羊水凝胶胆碱酯酶密度比

Amniotic fluid gel cholinesterase density ratios in fetal open defects of the neural tube and ventral wall.

作者信息

Goldfine C, Miller W A, Haddow J E

出版信息

Br J Obstet Gynaecol. 1983 Mar;90(3):238-40. doi: 10.1111/j.1471-0528.1983.tb08616.x.

DOI:10.1111/j.1471-0528.1983.tb08616.x
PMID:6338901
Abstract

Densitometry was used to measure gel acetyl- and pseudocholinesterase bands in a selection of amniotic fluid samples yielding positive alpha-fetoprotein and positive gel acetylcholinesterase results. The samples were associated with the following conditions: 28 anencephaly (10 stained with fetal blood), 20 open spina bifida (3 stained with fetal blood), 10 open ventral-wall defects (2 stained with fetal blood) and 5 unaffected pregnancies (all stained with fetal blood). In samples not visibly stained with fetal blood, the ratio of the acetylcholinesterase density to the pseudocholinesterase density distinguished between open ventral-wall defects and open neural-tube defects: the former group all had values less than 0.13, while the latter all had values greater than that. In amniotic fluid samples which were stained with fetal blood the acetylcholinesterase/pseudocholinesterase ratio did not offer useful diagnostic information; results from unaffected pregnancies overlapped with those from pregnancies with both ventral-wall defects and open neural-tube defects.

摘要

采用密度测定法,对一批羊水样本中凝胶乙酰胆碱酯酶和假性胆碱酯酶条带进行测量,这些样本的甲胎蛋白呈阳性,凝胶乙酰胆碱酯酶检测结果也呈阳性。这些样本与以下情况相关:28例无脑儿(其中10例被胎儿血染)、20例开放性脊柱裂(其中3例被胎儿血染)、10例开放性腹壁缺损(其中2例被胎儿血染)以及5例正常妊娠(均被胎儿血染)。在未被明显胎儿血染的样本中,乙酰胆碱酯酶密度与假性胆碱酯酶密度的比值可区分开放性腹壁缺损和开放性神经管缺损:前一组的所有值均小于0.13,而后一组的所有值均大于该值。在被胎儿血染的羊水样本中,乙酰胆碱酯酶/假性胆碱酯酶比值无法提供有用的诊断信息;正常妊娠的结果与腹壁缺损和开放性神经管缺损妊娠的结果相互重叠。

相似文献

1
Amniotic fluid gel cholinesterase density ratios in fetal open defects of the neural tube and ventral wall.神经管和腹壁胎儿开放性缺陷中羊水凝胶胆碱酯酶密度比
Br J Obstet Gynaecol. 1983 Mar;90(3):238-40. doi: 10.1111/j.1471-0528.1983.tb08616.x.
2
Ratio of amniotic fluid acetylcholinesterase to pseudocholinesterase as an antenatal diagnostic test for exomphalos and gastroschisis.羊水乙酰胆碱酯酶与假性胆碱酯酶的比值作为脐膨出和腹裂的产前诊断试验。
Br J Obstet Gynaecol. 1984 Sep;91(9):882-4. doi: 10.1111/j.1471-0528.1984.tb03701.x.
3
A comparison of amniotic fluid alpha-fetoprotein and acetylcholinesterase in the prenatal diagnosis of open neural tube defects and anterior abdominal wall defects.羊水甲胎蛋白和乙酰胆碱酯酶在开放性神经管缺陷及前腹壁缺陷产前诊断中的比较
Prenat Diagn. 1993 Feb;13(2):93-109. doi: 10.1002/pd.1970130204.
4
Amniotic-fluid acetylcholinesterase as a possible diagnostic test for neural-tube defects in early pregnancy.羊水乙酰胆碱酯酶作为孕早期神经管缺陷的一种可能诊断检测方法。
Lancet. 1979 Mar 31;1(8118):685-8. doi: 10.1016/s0140-6736(79)91144-9.
5
Acetylcholinesterase and butyrylcholinesterase measurement in the pre-natal detection of neural tube defects and other fetal malformations.乙酰胆碱酯酶和丁酰胆碱酯酶检测在神经管缺陷及其他胎儿畸形产前诊断中的应用
Clin Chim Acta. 1981 Sep 10;115(2):163-70. doi: 10.1016/0009-8981(81)90072-3.
6
Prenatal diagnosis of open neural tube defects using the amniotic fluid acetylcholinesterase assay.应用羊水乙酰胆碱酯酶测定法进行开放性神经管缺陷的产前诊断。
Obstet Gynecol. 1982 Jan;59(1):1-5.
7
Positive amniotic fluid acetylcholinesterase: distinguishing between open spina bifida and ventral wall defects.羊水乙酰胆碱酯酶阳性:区分开放性脊柱裂和腹壁缺损。
Am J Obstet Gynecol. 1986 Nov;155(5):984-6. doi: 10.1016/0002-9378(86)90330-3.
8
Amniotic fluid acetylcholinesterase electrophoresis as a secondary test in the diagnosis of anencephaly and open spina bifida in early pregnancy. Report of the Collaborative acetylcholinesterase Study.羊水乙酰胆碱酯酶电泳作为孕早期无脑儿和开放性脊柱裂诊断的二级检测。乙酰胆碱酯酶协作研究报告。
Lancet. 1981 Aug 15;2(8242):321-4.
9
Amniotic fluid acetylcholinesterase measurement in the prenatal diagnosis of open neural tube defects. Second report of the Collaborative Acetylcholinesterase Study.羊水乙酰胆碱酯酶检测在开放性神经管缺陷产前诊断中的应用。乙酰胆碱酯酶协作研究的第二次报告。
Prenat Diagn. 1989 Dec;9(12):813-29. doi: 10.1002/pd.1970091202.
10
Predictive value of amniotic acetylcholinesterase analysis in the diagnosis of fetal abnormality in 3700 pregnancies.
Prenat Diagn. 1984 Sep-Oct;4(5):329-40. doi: 10.1002/pd.1970040503.

引用本文的文献

1
Examination of products of conception terminated after prenatal investigation.对产前检查后终止妊娠的妊娠产物进行检查。
J Clin Pathol. 1986 Oct;39(10):1049-65. doi: 10.1136/jcp.39.10.1049.
2
Quantitative estimation of the density ratios of cholinesterase isoenzyme bands in human amniotic fluid in the prenatal diagnosis of malformed fetus.羊水胆碱酯酶同工酶带密度比值定量测定在胎儿畸形产前诊断中的应用
J Tongji Med Univ. 1988;8(1):5-10. doi: 10.1007/BF02887770.
3
Secretion of acetylcholinesterase and butyrylcholinesterase from the guinea-pig isolated ileum.
豚鼠离体回肠中乙酰胆碱酯酶和丁酰胆碱酯酶的分泌
Br J Pharmacol. 1989 Jun;97(2):490-8. doi: 10.1111/j.1476-5381.1989.tb11977.x.