Griffiths M J, Miller P R, Stibbe H M
Regional Genetics Laboratory, Birmingham Maternity Hospital, U.K.
Prenat Diagn. 1996 May;16(5):463-6. doi: 10.1002/(SICI)1097-0223(199605)16:5<463::AID-PD876>3.0.CO;2-N.
A 45,X karyotype was observed in all cells examined from an amniotic fluid sample taken at 16 weeks' gestation from a 37-year-old patient referred because of her age. Following termination of the pregnancy, all cells examined from fetal tissues (cardiac blood, skin, and muscle) showed a 46,XX karyotype. The most likely explanation for the discordant results is thought to be a dizygotic twin pregnancy with a normal fetus and an empty sac, the latter being sampled at amniocentesis resulting in a 45,X karyotype.
对一名因年龄因素前来就诊的37岁患者在妊娠16周时采集的羊水样本进行检查,所有细胞均观察到45,X核型。终止妊娠后,对胎儿组织(心脏血液、皮肤和肌肉)进行检查,所有细胞均显示46,XX核型。结果不一致最可能的解释被认为是双卵双胎妊娠,其中一个胎儿正常,另一个为空孕囊,在羊膜腔穿刺取样时获取的是空孕囊细胞,导致出现45,X核型。