中国产前诊断杂志(电子版)
中國產前診斷雜誌(電子版)
중국산전진단잡지(전자판)
CHINESE JOURNAL OF PRENATAL DIAGNOSIS(ELECTRONIC VERSION)
2014年
4期
11-14
,共4页
饶腾子%王逾男%吴菁%尹爱华%麦明琴%钟燕芳
饒騰子%王逾男%吳菁%尹愛華%麥明琴%鐘燕芳
요등자%왕유남%오정%윤애화%맥명금%종연방
双胎%产前诊断
雙胎%產前診斷
쌍태%산전진단
twins%prenatal diagnosis
目的:通过分析近年来本科室双胎妊娠产前诊断结果,以探讨双胎产前诊断的安全性及意义。方法回顾性分析2011年1月1日至2014年2月28日于广东省妇幼保健院医学遗传中心行介入性产前诊断的174例双胎妊娠孕妇资料,分析其产前诊断指征、结果及结局。结果①总共对283个胎儿取样,共检出29个异常,异常检出率10.2%(29/283)。其中胎儿预后不良异常15个,异常率5.3%(15/283)。②绒穿组/羊穿组/脐穿组术后2周内流产率分别为0.0%(0/7)、1.3%(2/149)、0.0%(0/18);双胎总流产率分别为14.3%(1/7)、3.4%(5/149)、0.0%(0/18)。结论介入性产前诊断技术能有效发现胎儿异常,对于符合产前诊断指征双胎孕妇,告知相关手术风险后仍需建议孕妇行相关介入性产前诊断检查。
目的:通過分析近年來本科室雙胎妊娠產前診斷結果,以探討雙胎產前診斷的安全性及意義。方法迴顧性分析2011年1月1日至2014年2月28日于廣東省婦幼保健院醫學遺傳中心行介入性產前診斷的174例雙胎妊娠孕婦資料,分析其產前診斷指徵、結果及結跼。結果①總共對283箇胎兒取樣,共檢齣29箇異常,異常檢齣率10.2%(29/283)。其中胎兒預後不良異常15箇,異常率5.3%(15/283)。②絨穿組/羊穿組/臍穿組術後2週內流產率分彆為0.0%(0/7)、1.3%(2/149)、0.0%(0/18);雙胎總流產率分彆為14.3%(1/7)、3.4%(5/149)、0.0%(0/18)。結論介入性產前診斷技術能有效髮現胎兒異常,對于符閤產前診斷指徵雙胎孕婦,告知相關手術風險後仍需建議孕婦行相關介入性產前診斷檢查。
목적:통과분석근년래본과실쌍태임신산전진단결과,이탐토쌍태산전진단적안전성급의의。방법회고성분석2011년1월1일지2014년2월28일우광동성부유보건원의학유전중심행개입성산전진단적174례쌍태임신잉부자료,분석기산전진단지정、결과급결국。결과①총공대283개태인취양,공검출29개이상,이상검출솔10.2%(29/283)。기중태인예후불량이상15개,이상솔5.3%(15/283)。②융천조/양천조/제천조술후2주내유산솔분별위0.0%(0/7)、1.3%(2/149)、0.0%(0/18);쌍태총유산솔분별위14.3%(1/7)、3.4%(5/149)、0.0%(0/18)。결론개입성산전진단기술능유효발현태인이상,대우부합산전진단지정쌍태잉부,고지상관수술풍험후잉수건의잉부행상관개입성산전진단검사。
Objective To investigate the safety of invasive prenatal diagnostic procedures of prenatal diagnosis for twins and its significance.Method This study retrospectively analyzed the 174 twin preg-nancies who took invasive prenatal diagnostic procedures guided by ultrasound in Guangdong Women and children’s hospital from 2011-01-01 to 2014-02-08.The indications,results and outcomes of invasive pre-natal diagnostic procedures were analyzed.Results ①Totally 283 fetus were examined,and there were 29 abnormal results.The abnormal detection rate was 10.2% (29/283 ).There were 15 severely abnormal results.The rate was 5 .3% (15/283).②The fetal loss rate within two weeks after the procedure were 0.0%(0/7)、1 .3% (2/149 )、0.0% (0/18 )respectively in the different group of chorionic villi sampling group/mniocentesis group /cordocentesis group.The total fetal loss rate were 14.3%(1/7 )、3.4%(5/149)、0.0%(0/18)respectively.Conclusions Invasive prenatal diagnostic procedures can find fetus with congenital abnormality effectively.Doctors should advice twin pregnancies who had indications to take in-vasive prenatal diagnostic procedure after warning relative risks.