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[亚急性先兆子痫和羊水过多作为胎儿三倍体的表现。孕28周时的宫内诊断]

[Subacute pre-eclampsia and hydramnios as manifestation of fetal triploidy. In utero diagnosis in the 28th week].

作者信息

Dognin C, Monnier J C, Lanciaux B, Savary J B, Deminatti M, Gosselin B

出版信息

J Gynecol Obstet Biol Reprod (Paris). 1983;12(6):625-31.

PMID:6361111
Abstract

The authors report a case of triploidy that was diagnosed in utero by amniocentesis at the 28th week of amenorrhoea which presented with a classical picture of sub-acute hydramnios and pre-eclampsia and a dermoid cyst in the pelvis below the uterus. This case has given us a chance of showing the clinical evolution that led us to carry out amniocentesis and make the diagnosis of triploidy. A review of the literature gives us the chance of showing the incidence of triploidy and its genetic origin and the characteristics that this chromosome abnormality produces. The value of the study is to show the differences that exist between this condition and partial molar triploidy demonstrating the anatomo-pathological, genetic and developmental changes that can be recognized. The conclusion that this article reaches could be that the term "triploid embryonic mole" should be abandoned because it brings under one heading two quite different pictures.

摘要

作者报告了一例三倍体病例,该病例在闭经第28周时通过羊膜穿刺术在子宫内被诊断出来,表现为典型的亚急性羊水过多和先兆子痫,且子宫下方盆腔有一个皮样囊肿。该病例让我们有机会展示导致我们进行羊膜穿刺术并诊断出三倍体的临床演变过程。对文献的回顾让我们有机会展示三倍体的发生率及其遗传起源,以及这种染色体异常所产生的特征。该研究的价值在于展示这种情况与部分性葡萄胎三倍体之间存在的差异,证明可以识别的解剖病理学、遗传学和发育变化。本文得出的结论可能是,“三倍体胚胎性葡萄胎”这一术语应被摒弃,因为它将两种截然不同的情况归为一类。

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