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Prenatal Gene Diagnosis for High Risk Infant of Thalassemia

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Author:
No author available
Journal Title:
CHINESE JOURNAL OF PERINATAL MEDICINE
Issue:
4
DOI:
10.3760/cma.j.issn.1007-9408.2002.04.004
Key Word:
地中海贫血;产前诊断;杂合子;纯合子

Abstract: 目的探讨地中海贫血(简称地贫)高风险胎儿宫内基因诊断的价值.方法128例地中海贫血高风险胎儿于妊娠中期抽取羊水10~20 ml或脐血1 ml进行基因诊断.结果128例被检胎儿中基因正常32例,α地贫缺失杂合子38例,纯合子27例;β地贫单一突变杂合子18例,纯合子4例,双重杂合子9例;β地贫基因突变类型及频率依次为:CD 41-42(47.5%),IVS-Ⅱ-654(42.5%),CD 17(A-T)(7.5%)及-28(A-G)(2.5%).无一例发生严重母胎并发症,重型地贫胎儿40例均在知情同意前提下及时终止妊娠.结论筛查地贫高风险胎儿并及时进行产前基因诊断安全、有效、准确.在地贫高发区域,应作为常规产科检测方法.

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