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220例稽留流产者绒毛组织细胞遗传学分析
引用本文:古艳,;谢建生,;罗福薇,;耿茜,;张华坤,;沈辉宁,;赵坤,;刘庆芝.220例稽留流产者绒毛组织细胞遗传学分析[J].中国优生与遗传杂志,2009(12):38-39.
作者姓名:古艳  ;谢建生  ;罗福薇  ;耿茜  ;张华坤  ;沈辉宁  ;赵坤  ;刘庆芝
作者单位:[1]广州医学院2007级研究生; [2]深圳市妇幼保健院产前诊断中心,518048; [3]深圳市妇幼保健院妇科,518048;
摘    要:目的通过绒毛细胞遗传学分析了解稽留流产患者的病因。方法无菌条件下取220例稽留流产患者胚胎绒毛,采用细胞培养法制备染色体进行G显带分析。结果220例稽留流产患者绒毛细胞培养成功212例(96.36%),收获染色体207例,成功率97.64%(207/212),检出染色体异常115例(55.56%)。异常核型中三体72例(62.61%),性染色体单体16例(13.91%),多倍体14例(12.17%),嵌合体10例(8.70%),结构异常3例(2.61%)。结论胚胎染色体数目异常是稽留流产患者的重要病因,进行绒毛细胞遗传学分析具有重要临床意义。

关 键 词:稽留流产  绒毛细胞  染色体分析

Chromosome karyotyping of 220 cases of early spontaneous abortion
Affiliation:GU Yan , XIE Jian - sheng, LUO Fu - wei, GENG Qian, ZHANG Hua - kun, SHEN Hui - ning, ZHAO Kun, LIU Qing - zhi ( 1. Graduate School of Guangzhou Medical College, Guangzhou, Guangdong, China; 2. Central for Prenatal Diagnosis, Shenzhen Maternity and Child Healthcare Hospital, Shenzhen, Guangdong, 518048, China; 3. Department of Gynecology, Shenzhen Maternity and Child Healthcare Hospital, Shenzhen, Guangdong , 518048, China)
Abstract:Objective : To investigate cause of missed abortion. Methods : Choronic villi from 220 cases of missed abortion were sampled. Tissue culture and karyotype analysis was performed on these samples. Results: The successful cell culture rate was 96. 36% (212/220). There were 207 (97.64%) cases succeeded in karyotype analysis and 115 cases (55.56 % ) with chromo- some abnormality among 207 cases. Abnormal karyotypes included 72 cases of trisomy, 16 cases of monosomy X, 14 cases of polyploid, 10 cases of chimera and 3 structural abnormity. Conclusion: Chromosome abnormalities was the most important reason in missed abortion, and karyotype analysis of chorionic villus has important clinical significance.
Keywords:Missed abortion  Chorionic villus  Karyotype analysis
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