与妇女生殖史有关的受孕产物的核型特征

I. Tkach, N. Huleyuk, D. Zastavna, G. Bezkorovaina, N. Helner, T. V. Fedushun, T. B. Snizhko, O. V. Benko
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引用次数: 0

摘要

的目标。妊娠丧失妇女生殖功能的预后是复杂的,部分基于生殖丧失材料的核型结果。我们研究了EPL材料的核型特征,这取决于妇女的生殖史,重点是活的和非活的核型异常(KA)。方法。用着丝粒探针板对染色体13、14、15、16、17、18、21、22、X和Y进行细胞遗传学和间期mFISH显带。结果。对1734例EPL材料进行了检查。39.3%的病例存在核型异常。不同生育史女性EPL材料中KA发生率无显著差异,分别为:首次妊娠丢失38.9%、RPL 38.2%和SPL 41.0% (P < 0.05)。与SPL组相比,RPL组无活菌KA和低活菌KA发生率分别为70.15%和29.85%和58.85%,显著高于SPL组(P<0.025)。结论。不同KA对EPL发生的贡献取决于女性的生殖史,即与一组SPL相比,RPL女性显著增加了无活KA的比例,减少了有活KA的贡献。关键词:早期生殖丧失,母体生殖史,核型异常。
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Characteristic of the karyotype of products of conception depending on reproductive history of women
Aim. The prognosis of the reproductive function of women with pregnancy loss is complex and partly based on the results of karyotyping of material of reproductive loss. We studied the features of the karyotype of material of EPL depending on the reproductive history of women with an emphasis on viable and non–viable karyotype abnormalities(KA). Methods. Banding cytogenetic and interphase mFISH with the centromeric probe panel for chromosomes 13, 14, 15, 16, 17, 18, 21, 22, X and Y were used. Results. Were examined 1734 cases of material EPL. Abnormal karyotype was set in 39.3% of cases. The frequency of KA is not significantly different in the material of EPL obtained from women with different reproductive history, namely: first pregnancy loss– 38.9% RPL – 38.2% and SPL – 41.0% (P> 0.05). In the group with RPL significantly more frequent non–viable KA and less viable KA, compared with a group of SPL namely 70.15% and 29.85% compared to 58.85% and 41.15% respectively(P<0.025). Conclusions. The contribution of different KA in genesis of the EPL depends on the reproductive history of women, namely women with RPL significantly increases the proportion of non–viable KA and reduced contribution viable KA compared with a group of SPL. Keywords: early reproductive loss, maternal reproductive history, karyotype abnormalities.
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