目的 通过对260例遗传咨询有智力障碍儿童的细胞遗传学分析,探讨染色体异常与智力发育障碍的关联效应,便于采取有效的预防干预措施。方法 取患者外周血进行淋巴细胞培养,常规收获,G显带,显微镜下进行核型分析。结果 260例智力障碍儿童中,发现染色体异常108例,总检出率 41.54%(108/260)。 异常者中单纯型21-三体综合征50例,检出率46.29%(50/108);结构异常检出11例,检出率为10.18%(11/108)。检出染色体多态10例,检出率为3.85%(10/260)。结论 染色体异常是导致先天畸形或智力低下的重要原因,对此类患儿进行染色体检查和对孕妇进行产前筛查非常必要,可提高异常染色体的检出率,能够有效降低智力障碍儿童的出生率,对提高优生优育具有重要意义。
Abstract
Objective To analyse the incidence of abnormal karyotype of the mental retardation (MR) children in Qiqihar area. Method A total of 260 cases of MR children were used peripheral blood cell culture method and G banding karyotype detection. Results Among 260 cases of MR children,abnormal karyotypes detection rate was 41.54%(108/260).Among them,standard 21-trisomy syndrome:50 cases,detection rate was 46.29%(50/108).Strueutarl abnormalities of 11 cases were detected with detection rate of 10.18% (11/108). Conclusions MR children and abnormal karyotypes are closely related,mainly with abnormal karyotype of chromosome 21-trisomy syndrome.It is important to analyze the chromosome karyotype of the MR of children.
关键词
染色体异常 /
智力障碍 /
Down综合征
Key words
abnormal karotype /
mental retardation /
Down syndrome
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] Nasiri F,Mahjoubi F,Manouehehry F,et al.Cytogenetic findings in mentally retarded Iranian patients[J].Balkan J Med Genet,2012,15(2):29-34.
[2] 王芳,何玺玉.265 例不明原因智力障碍遗传学病因分析研究[J].中国优生与遗传杂志,2012,20(11):36-43.
[3] 慕明涛,霍满鹏,张静,等.延安地区智障儿的染色体与微核检查分析[J].中国优生与遗传杂志,2014,22(7):35-36.
[4] 左伋.医学遗传学 [M].北京 :人民卫生出版社,2013 :166.
[5] 苏景玉,欧阳鲁平,刘天盛,等.8250例高龄孕妇的产前细胞遗传学诊断[J].中国优生与遗传杂志,2016,24(4):46-47.
[6] 钱欣,罗玉琴,徐晓姹,等.2619例高龄孕妇羊水细胞染色体核型分析[J].中华医学遗传学杂志,2009,26(6):712-713.
[7] 李南.275 例出生缺陷或智力、生长发育迟缓儿童的染色体核型分析[J].中华医学遗传学杂志,2012,29(2):238-240.
[8] 罗小金,胡亮,李高驰,等.不良孕产史夫妇异常及染色体多态性核型的临床表现和细胞遗传学分析[J].中国优生与遗传杂志,2015,23(6):42-43.
基金
黑龙江省齐齐哈尔市科技局社会发展攻关重点项目(SFGG-201564)