用四重测试对唐氏综合征进行产前查
Nicholas J Wald1, Wayne J Huttly, Allan K Hackshaw
1Department of Environmental and Preventive Medicine, Wolfson Institute of Preventive Medicine, Barts and The London Queen Mary School of Medicine and Dentistry, EC1M 6BQ, London, UK. n.j.wald@qmul.ac.uk
Lancet (London, England)
|March 19, 2003
概括
这项四重测试有效地选了怀孕第二季度的唐氏综合征,检测率为81%. 这种产前血清查优于单独的母亲年龄,使其成为推的选择.
科学领域:
- 医学查 医学查
- 产前诊断 在产前诊断
- 遗传学 是一个遗传学.
背景情况:
- 对唐氏综合征的第二个三个月查是全球常见的做法.
- 现有的查方法具有不同的检测率和错误阳性率.
研究的目的:
- 评估第四次测试的性能,用于第二个三个月的唐氏综合征查.
- 为了比较四重测试对单独的母亲年龄和其他第二个三个月查方法的有效性.
主要方法:
- 这是一项大规模的前性研究,涉及46,193个怀孕在14家医院超过5年.
- 使用四重测试的产前血清查.
- 提供诊断性羊膜切割或胆囊取样本,以获得阳性查结果 (风险>或=300分之一).
主要成果:
- 在88个受影响的怀孕中,四重测试实现了81%的唐氏综合征检测率 (95%CI72-89).
- 在46,105个未受影响的怀孕中观察到7%的错误阳性率.
- 与单独的母亲年龄相比,显著提高了检测率 (81%对51%) 和较低的错误阳性率 (7%对14%).
结论:
- 四重测试是第二个三个月的唐氏综合征查的高效方法.
- 它的性能优于母体年龄估计和其他可用的第二季度查测试.
- 推四重测试作为首选的查方法,以检测怀孕第二个三个月的唐氏综合征.
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