双重脏的胎儿的产前诊断和结果
Chunling Ma1,2, Ruibin Huang2, Fang Fu2
1The First School of Clinical Medicine, Southern Medical University, Guangzhou, China.
概括
染色体微阵列分析 (CMA) 和全外体序列测序 (WES) 有助于确定胎儿双重的遗传原因. 这些遗传测试显著影响了关于终止怀孕的决定,有助于产前诊断和遗传咨询.
科学领域:
- 医学遗传学 医学遗传学
- 产前诊断 在产前诊断
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 双重是一种常见的尿道系统的先天性异常.
- 准确的产前诊断和遗传评估对于管理双重脏至关重要.
- 了解双重的遗传基础可以为遗传咨询和临床管理提供信息.
研究的目的:
- 评估染色体微阵列分析 (CMA) 和全外体序列测序 (WES) 在双重脏胎儿的诊断效用.
- 调查双重病例中遗传发现和围产期结果之间的关联.
- 评估基因测试对临床决策的影响,例如终止妊娠.
主要方法:
- 通过产前超声波对63名被诊断患有双重脏的胎儿进行了回顾性队列研究.
- 临床特征分析,遗传测试结果 (CMA和WES) 和怀孕结果.
- 基于基因检测结果的妊娠终止率的统计比较.
主要成果:
- 在11.1%的病例中,CMA检测到了临床上显著的变异,在17q12,17p13.3,22q11.2.2.等区域中确定了致病副本数变异 (CNV).
- 在50%的分析病例中,WES发现了致病性单基因变异,包括KMT2D,SMPD4和FANCI的突变.
- 在检测到临床显著变异的病例中,妊娠终止率明显高 (90.0%),相比于负面结果的病例 (16.7%).
结论:
- CMA和WES是胎儿双重脏的产前诊断的宝贵工具.
- 遗传检测为遗传咨询和双重的临床管理提供了关键信息.
- 识别致病变体有助于了解双重病的病因和预后,影响生殖决策.
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