中国妇幼健康研究2017,Vol.28Issue(6):713-716,4.DOI:10.3969/j.issn.1673-5293.2017.06.032
惠州地区22671例孕妇孕早中期唐氏综合征产前筛查结果分析
Result analysis of prenatal serological screening for Down' s syndrome in first and second trimester in 22 671 pregnant women in Huizhou region
陈剑虹 1梁艳 1李辉 1李彩霞 1董慧 1闫梅 1余志邦 1黄紫娟1
作者信息
- 1. 广东省惠州市第一妇幼保健院产前诊断中心,广东惠州516007
- 折叠
摘要
Abstract
Objective To analyze results of prenatal serological screening for Down' s syndrome in 22 671 pregnant women in Huizhou region and to evaluate the efficiency of prenatal screening for fetal chromosomal abnormalities in first and second trimester.Methods A total of 22 671 women with singleton pregnancy receiving check-up in prenatal diagnosis center in Huizhou First Women and Children' s Hospital from January 2015 to September 2016 accepted prenatal serological screening.Screening efficiency was observed.Prenatal diagnosis was performed for patients with abnormal results and fetal chromosomal abnormalities were analyzed.Results Of 22 671 pregnant women screened,1 152 cases were detected with high risk of trisomy 21,33 cases with high risk of trisomy 18,and 38 cases with high risk of neural tube defects (NTD).In first trimester,positive rate was 5.83% (765/13 109) for trisomy 21 and 0.21% (28/13 109) for trisomy 18 respectively.Positive rates of trisomy 21,trisomy 18 and NTD in second trimester were 4.05 % (387/9 562),0.05 % (5/9 562) and 0.40% (38/9 562),respectively.In all screened patients,10 cases of trisomy 21,4 cases of trisomy 18,1 case of trisomy 13,and 3 cases of other chromosome abnormalities were identified,among which 77.78% (14/18) was detected in first trimester and 22.22% (4/ 18) in second trimester.Conclusion Prenatal serological screening in first and second trimester can effectively reduce birth defects,and paying attention to first trimester screening is helpful for early diagnosis of fetal chromosomal abnormalities.关键词
唐氏综合征/产前筛查/染色体异常/结果分析Key words
Down's syndrome/prenatal screening/chromosomal abnormalities/result analysis分类
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陈剑虹,梁艳,李辉,李彩霞,董慧,闫梅,余志邦,黄紫娟..惠州地区22671例孕妇孕早中期唐氏综合征产前筛查结果分析[J].中国妇幼健康研究,2017,28(6):713-716,4.