第一季度超声波和双胞胎形查在双胞胎中的查
Maeve K Hopkins1, Olivia Neumann1, Jeffrey A Kuller2
1Obstetrics & Gynecology Institute, Cleveland Clinic, Cleveland, Ohio.
Clinical obstetrics and gynecology
|July 13, 2023
概括
双胞胎怀孕查染色体积症需要量身定制的方法. 建议进行第一季度超声波,无细胞DNA查或带有甲透光的母体血清标志物,并在适当时进行诊断测试.
科学领域:
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 产前诊断 在产前诊断
- 遗传学 遗传学 是一个
背景情况:
- 双胞胎怀孕与单独怀孕相比,在形积分症查方面存在独特的挑战.
- 准确的产前诊断对于管理双胞胎妊娠和为临床决策提供信息至关重要.
- 早期识别染色体异常有助于规划和潜在的干预措施.
研究的目的:
- 概述双胞胎怀孕中染色体积症的推查和诊断策略.
- 针对双胞胎形形查的具体挑战和考虑.
- 根据查结果和胎儿发现,提供关于提供适当测试的指导.
主要方法:
- 目前文献和关于双胞胎怀孕中形形查指南的指导方针的综述.
- 讨论第一季度超声波,无细胞DNA (cfDNA) 查和母体血清标志物查.
- 结合后透光度 (NT) 评估和诊断测试选项.
主要成果:
- 建议在所有双胞胎怀孕中进行第一季度超声波检查.
- 建议将无细胞DNA查作为一线选择,同时考虑像失踪双胞胎这样的局限性.
- 替代性查包括母体血清标志物与NT评估相结合,然后对阳性查或结构异常进行诊断测试.
结论:
- 将超声波,非侵入性查和诊断测试结合在一起的综合方法对于在双胞胎中检测出形积分是必不可少的.
- 查方案必须适应双胞胎怀孕的复杂性.
- 及时的诊断测试对于管理双胞胎怀孕中发现的染色体异常至关重要.
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