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对50对复发性流产夫妇的细胞遗传学研究。

Cytogenetic study in 50 couples with recurrent abortions.

作者信息

Mameli M, Cardia S, Milia A, Aste A, Santucci S, Genazzani A R

出版信息

Gynecol Obstet Invest. 1984;17(2):84-8. doi: 10.1159/000299127.

Abstract

The presence of chromosome abnormalities in couples with repeated spontaneous abortion is known even if the phenomenon is far from a complete assessment. A cytogenetic investigation in 50 couples with a history of two or more spontaneous abortions is referred to in this study. A peripheral blood lymphocyte culture was harvested for each subject and the slides were stained by G- and C-banding. Of the 100 individuals examined, 4 were carriers of balanced translocations, 3 of which were of the Robertsonian type. A chromosomal fragility (chromatidic and/or chromosomic gaps) was seen in 2 cases. The incidence of balanced translocations found here is 8% which is near to the mode (about 9%) observed in previous studies. Those frequencies are greater than in the general population (0.1-0.4%). This indicates that balanced translocations have some importance in causing abortion while this is not the case for other chromosomal abnormalities (e.g. pericentric inversions). Thus, cytogenetic analyses should be recommended in couples with repeated spontaneous abortions, when clinical data fail to clarify the cause.

摘要

即便对反复自然流产夫妇中染色体异常现象的评估远未完善,但这一现象已为人所知。本研究提及了对50对有两次或更多次自然流产史的夫妇进行的细胞遗传学调查。为每位受试者采集外周血淋巴细胞培养物,玻片用G带和C带染色。在检查的100个人中,4人是平衡易位携带者,其中3例为罗伯逊易位型。2例出现染色体脆性(染色单体和/或染色体间隙)。此处发现的平衡易位发生率为8%,接近先前研究中观察到的众数(约9%)。这些频率高于一般人群(0.1 - 0.4%)。这表明平衡易位在导致流产方面具有一定重要性,而其他染色体异常(如臂间倒位)则不然。因此,当临床数据无法明确病因时,建议对反复自然流产的夫妇进行细胞遗传学分析。

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