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荧光原位杂交技术与常规染色体分析检测骨髓增生异常综合征患者+8和20q-异常
引用本文:唐元艳,梁艳,熊涛,张利铭,虞咏知,黄知平. 荧光原位杂交技术与常规染色体分析检测骨髓增生异常综合征患者+8和20q-异常[J]. 临床荟萃, 2012, 27(9): 761-763
作者姓名:唐元艳  梁艳  熊涛  张利铭  虞咏知  黄知平
作者单位:华中科技大学同济医学院附属荆州医院 血液内科,湖北荆州,434020
摘    要:目的 比较常规细胞遗传学分析(CCA)及荧光原住杂交(FISH)两种技术在骨髓增生异常综合征( MDS)患者8号和20号染色体异常检测中的应用.方法 40例MDS患者,CCA法采用骨髓短期培养法,核型分析采用R带技术.FISH法采用间期FISH,选取探针组合检测+8和20q-.结果 采用CCA法,+8和20q-检出率分别为7.5%(3/40)和7.5% (3/40),而利用FISH技术,+8和20q-检出率分别为12.5%(5/40),20.0% (8/40).采用FISH可以提高8号和20号染色体异常的检出率,但两种方法之间的差异无统计学意义(P>0.05).结论 CCA结合FISH能提高MDS患者染色体异常的检出率,与CCA比较,采用组合探针的FISH更为敏感和特异.

关 键 词:帕金森痛  单胺氧化酶  基因  多态性  

Detection of +8 and 20q- in myelodysplastic syndrome patients by fluorescence in situ hybridization and cytogenetic analysis
TANG Yuan-yan , LIANG Yan , XIONG Tao , ZHANG Li-ming , YU Yong-zhi , HUANG Zhi-ping. Detection of +8 and 20q- in myelodysplastic syndrome patients by fluorescence in situ hybridization and cytogenetic analysis[J]. Clinical Focus, 2012, 27(9): 761-763
Authors:TANG Yuan-yan    LIANG Yan    XIONG Tao    ZHANG Li-ming    YU Yong-zhi    HUANG Zhi-ping
Affiliation:Department of Hematology,the Affiliated Jingzhou Hospital,Tongji Medicine College, Huazhong Science and Technology University,Jingzhou 434020,China
Abstract:Objective To compare the sensitivity and specificity of conventional cytogenetic analysis(CCA) and fluorescence in situ hybridization(FISH) technique in the detection of myelodysplastic syndrome(MDS).Methods Bone marrow cells from 40 patients were analyzed with CCA and FISH.Results Using CCA,+8 and 20q-was found in 3 of 40 cases(7.5%);Using FISH,+8 was found in 5 of 40 cases(12.5%),and 20q-was found in 8 of 40 cases(20.0%).There was no significant difference between CCA and FISH(P>0.05).Conclusion Combination of CCA and FISH could help the diagnosis of MDS.FISH is more sensitive and specific for detection of chromosome abnormalities in MDS than CCA.
Keywords:myelodysplastic syndrome  in situ hybridization,fluorescence  cytoplasm genetics  chromosome aberration
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