一个新的随机查策略增加了三症21的检测率在怀孕的第一季度
Wei Luo1,2,3, Bin He1,2,3, Daiwen Han1,2,3
1Department of Medical Genetics, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, 610041, China.
BMC pregnancy and childbirth
|November 14, 2023
概括
这项研究通过调整低风险怀孕的血清标志物切断值来完善21型三症的产前查. 改进的随机查策略提高了唐氏综合征的检测率.
科学领域:
- 孕产妇和胎儿的医学
- 产前诊断 在产前诊断
- 遗传学 是一个遗传学.
背景情况:
- 对于21型三症的传统随机查有局限性,缺少一些低风险病例.
- 优化查协议对于提高唐氏综合征产前检测率至关重要.
研究的目的:
- 在低风险怀孕中确定血清生物化学标记物的新切断值.
- 开发一个增强的顺序性产前检测策略,以检测21型三症.
主要方法:
- 追溯分析9年的单胎怀孕数据,经过第一季度查.
- 调整中位数 (MoM) 的自由β-hCG和PAPP-A倍数的截止值.
- 实施非侵入性产前查 (NIPS) 针对特定的低风险病例,并调整标记值.
主要成果:
- 确定自由β-hCG (≥2.75 MoM) 和PAPP-A (≤0.5 MoM) 的特定切断值,分别在7.72%和12.36%的病例中发现异常结果.
- 这种策略检测到55.56%和85.71%的之前虚假阴性三发症21病例.
- 整体检测率的三形21是提高了10.64%和12.77%.
结论:
- 修订后的随机查策略显著增加了三发性病21的检测率.
- 这种方法为在怀孕早期识别唐氏综合征提供了更有效的方法.
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