1例特殊特纳综合征胎儿产前诊断的分析及思考

Prenatal diagnosis of a fetus with mosaic Turner syndrome: A case report

  • 摘要:
      目的  应用多种技术对1例特殊的特纳综合征胎儿进行产前诊断,探讨胎儿性染色体异常产前诊断技术存在的不足。
      方法  孕妇28岁,2018年5月因唐氏筛查提示13三体高危转诊至解放军总医院第一医学中心产前诊断中心,行无创DNA检测、羊水穿刺荧光原位杂交技术及染色体G显带技术,对胎儿异常染色体进行识别和定位。
      结果  荧光原位杂交技术证实胎儿为45, X/46, XX嵌合型,染色体G显带技术进一步确定胎儿存在两种异常核型。
      结论  性染色体异常的产前诊断中,应用多种技术联合检测可以避免漏检,并且能够明确各种染色体异常。

     

    Abstract:
      Objective  To identify fetal sex chromosome abnormality in a fetus with mosaic Turner syndrome by using various prenatal diagnosis techniques.
      Methods  In May 2018, a 28 year-old pregnant woman was referred to the first medical center of Chinese PLA General Hospital because of a high risk of trisomy 13 suggested by Oscar test in another hospital. Multiplatform techniques including noninvasive prenatal gene detection, G-banding and fluorescence in situ hybridization (FISH) were performed to detect the abnormalities in this case.
      Results  Sex chromosome mosaicism (mos 45, X/46, XX) was confirmed by FISH, and G banding technique further identified the existence of two abnormal karyotypes in the fetus.
      Conclusion  In the prenatal diagnosis of sex chromosome abnormality, combination of multiple techniques can avoid missed detection and identify all kinds of chromosome abnormality.

     

/

返回文章
返回