Zwahr C, Voss P, Kistner G
Klinikum Schwerin, Frauenklinik.
Z Geburtshilfe Neonatol. 1996 Sep-Oct;200(5):181-5.
An age-dependent analytic program (Alpha-Software from Wald) was compared to an age-independent Index (Ulm-Index) in order to determine effectivity of detection in prenatal screening for Down's Syndrome in 7060 pregnant women. The rate of accuracy was similar in both analytic programs (6 from 7), but, the rate of false-positive results was twice as high using the Ulm-Index (14.7 versus 7.7%). The higher rate of amniocentesis necessary using the age-independent Ulm-Index apparently does not justify this method for prenatal screening of Down's Syndrome.
为了确定在7060名孕妇中进行唐氏综合征产前筛查时的检测有效性,将一种年龄相关分析程序(来自瓦尔德的阿尔法软件)与一种年龄无关指数(乌尔姆指数)进行了比较。两种分析程序的准确率相似(7例中有6例),但是,使用乌尔姆指数时假阳性结果的发生率高出一倍(分别为14.7%和7.7%)。显然,使用年龄无关的乌尔姆指数时所需的羊膜穿刺术发生率更高,这并不能证明该方法适用于唐氏综合征的产前筛查。