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不育男性的AZF检测与Y染色体缺失的对照分析
引用本文:崔英霞,卢洪涌,史轶超,夏欣一,邵永,姚兵,戈一峰,黄宇烽.不育男性的AZF检测与Y染色体缺失的对照分析[J].中国优生与遗传杂志,2010(1):33-35.
作者姓名:崔英霞  卢洪涌  史轶超  夏欣一  邵永  姚兵  戈一峰  黄宇烽
作者单位:南京军区南京总医院临床中心实验科;
摘    要:目的探讨精子发生障碍的男性不育患者AZF缺失与Y染色体缺失的临床意义。方法对616例非阻塞性无精子症或少精子症患者进行AZF的检测,同时观察G显带Y染色体的形态。结果从616例患者中检测出48例患者分别为AZFa、AZFb、AZFc或AZFb+AZFc的微缺失,但显微镜下观察不到Y染色体形态改变。另外4例患者经AZF检测,2例为AZFc+sY160缺失,1例为AZFb+AZFc+sY160缺失,1例为AZFa+AZFb+AZFc+sY160缺失,显微镜下发现Yq部分或完全缺失。25例已育男性的G-显带的Y染色体和AZF也进行对照检测,均未发现AZF的缺失,但其中1例核型分析显示Y染色体长臂部分缺失,但PCR检测仅缺失sY160,即Yq12的缺失。结论Yq11.23上7Mb的缺失在细胞水平不能分辨。q11.23+q12的缺失或仅有Yq12的缺失的Y染色体显微镜下不能区分,但后者不是精子发生障碍的病因。对男性不育精子发生障碍患者,要结合细胞遗传学和AZF分子检测综合判断。

关 键 词:无精子因子  Y染色体  男性不育  多重PCR

Detection of microdeletion of AZF and Y chromosomal deletion in male infertility
CUI Ying-xia,LU Hong-yong,SHI Yi-chao,XIA Xin-yi,YAO Bing,GE Yi-feng,HUANG Yu-feng..Detection of microdeletion of AZF and Y chromosomal deletion in male infertility[J].Chinese Journal of Birth Health & Heredity,2010(1):33-35.
Authors:CUI Ying-xia  LU Hong-yong  SHI Yi-chao  XIA Xin-yi  YAO Bing  GE Yi-feng  HUANG Yu-feng
Institution:CUI Ying-xia,LU Hong-yong,SHI Yi-chao,XIA Xin-yi,YAO Bing,GE Yi-feng,HUANG Yu-feng.(Institute of Clinical Laboratory Medicine,Department of Clinical Experiment Medicine,Nanjing General Hospital of Nanjing Commond,PLA,Nanjing 210002)
Abstract:Objectes :To evaluate the clinical significance of kayrotyping associated with AZF microdeletion analysis in male spermatogenic failure.Mothods :A total of 616 infertile patients with non obstructive azoospermatism or oligospermatism and 25 fertile men provided blood samples to detecte microdeletion of AZF and Y chromosomal deletion.Results:Forty-eight of 616 patients were with microdeletions of AZFa,AZFb,AZFc or AZFb+AZFc,respectively.But no visible Y chromosome deletion was found.The other two patients wi...
Keywords:Azoospermia factor  Y chromosome  Male infertility  Multiplex-PCR  
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