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活产中47,+13及46易位型D/13帕陶综合征的发生率及其与死胎和羊膜穿刺术时发生率的比较。

Rates of 47, + 13 amd 46 translocation D/13 Patau syndrome in live births and comparison with rates in fetal deaths and at amniocentesis.

作者信息

Hook E B

出版信息

Am J Hum Genet. 1980 Nov;32(6):849-58.

PMID:7446526
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1686165/
Abstract

Trisomy 13 (Patau syndrome) is rare in newborns. Data on rates in 167,774 live births from 17 separate studies are reviewed, and the following pooled rates found for: (1) 47,trisomy 13, 8.3 X 10(-5) (1/12,000); and (2) 46, (D/13 Robertsonian translocations), 4.2 X 10(-5) (1/24,000)--mutants, 1.2 X 10(-5) (1/80,000) to 1.8 X 10(-5) (1/56,000); and familial cases, 2.4 X 10(-5) (1/42,000) to 3.0 X 10(-5) (1/33,000). The rate of trisomy 13 (47, + 13) in liveborns (ignoring possible biases in studies and heterogeneity in rates) is, with 95% confidence, between 4.6 X 10(-5) (1/21,700) and 14.0 X 10(-5) (1/7,000), with the most likely figure close to 8 X 10(-5) (1/12,000). Numbers are insufficient to construct a comparably narrow confidence interval for translocation cases. The rates of 47, + 13 may be estimated in (1) spontaneous abortuses, about 0.8%--1.0% (100-fold greater than in liveborns); (2) early neonatal deaths, about 0.4% (50-fold greater than in liveborns); and (3) amniocentesis, higher than in liveborns, at least for mothers 40 years and over.

摘要

13三体综合征(帕陶综合征)在新生儿中较为罕见。本文回顾了17项独立研究中167,774例活产儿的发病率数据,得出以下合并发病率:(1)47,13三体,8.3×10⁻⁵(1/12,000);(2)46,(D/13罗伯逊易位),4.2×10⁻⁵(1/24,000)——突变体,1.2×10⁻⁵(1/80,000)至1.8×10⁻⁵(1/56,000);家族性病例,2.4×10⁻⁵(1/42,000)至3.0×10⁻⁵(1/33,000)。活产儿中13三体(47,+13)的发病率(忽略研究中可能存在的偏差和发病率的异质性),在95%置信区间内为4.6×10⁻⁵(1/21,700)至14.0×10⁻⁵(1/7,000),最可能的数字接近8×10⁻⁵(1/12,000)。数据不足以构建易位病例的类似狭窄置信区间。47,+13的发病率在以下情况中可能更高:(1)自然流产儿,约0.8% - 1.0%(比活产儿高100倍);(2)早期新生儿死亡,约0.4%(比活产儿高50倍);(3)羊膜穿刺术检测到的病例,至少对于40岁及以上的母亲,发病率高于活产儿。

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本文引用的文献

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CONGENITAL ANOMALIES IN THE NEWBORN INFANT, INCLUDING MINOR VARIATIONS. A STUDY OF 4,412 BABIES BY SURFACE EXAMINATION FOR ANOMALIES AND BUCCAL SMEAR FOR SEX CHROMATIN.新生儿先天性异常,包括轻微变异。对4412名婴儿进行体表异常检查和口腔涂片性染色质检查的研究。
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Science. 1970 Jul 31;169(3944):495-7. doi: 10.1126/science.169.3944.495.
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Chromosome aberrations in 2159 consecutive newborn babies.2159例连续新生儿的染色体畸变情况。
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