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TORCH感染介入性产前诊断195例分析
引用本文:周祎,方群,陈健生,游泽山,陈筠虹. TORCH感染介入性产前诊断195例分析[J]. 广东医学, 2002, 23(8): 784-786
作者姓名:周祎  方群  陈健生  游泽山  陈筠虹
作者单位:中山大学附属第一医院妇产科胎儿医学中心,广州,510080
摘    要:目的 探讨TORCH感染介入性产前诊断方法和检测方法,研究其宫内传播率。方法 对195例TORCH-IgM阳性孕妇在B超介导下行羊膜腔穿刺术和脐静脉穿刺术,获得的羊水和脐血用PCR(RT-PCR),ELISA和MEIA法检测TORCH-DNA(RNA)或TORCH-IgM。结果 羊膜腔穿刺术和脐静脉穿刺术全部成功,无严重并发症。其确诊胎儿宫内TORCH感染17例,宫内TORCH感染率为8.7%。结论 介入性产前诊断手术安全可靠,TORCH感染可宫内传播,TORCH感染的检测方法有待进一步改善。

关 键 词:TORCH感染 介入性产前诊断 宫内传播 羊膜腔穿刺 脐静脉穿刺
修稿时间:2002-06-20

Analysis of 195 cases of invasive prenatal diagnosis for TORCH infections
Zhou Yi,Fang Qun,Chen Jiansheng,et al.. Analysis of 195 cases of invasive prenatal diagnosis for TORCH infections[J]. Guangdong Medical Journal, 2002, 23(8): 784-786
Authors:Zhou Yi  Fang Qun  Chen Jiansheng  et al.
Affiliation:Zhou Yi,Fang Qun,Chen Jiansheng,et al. Fetal Medicine Unit,Department of Obstetrics and Gynecology,First Affiliated Hospital,Sun Yat-sen University Guangzhou,510080
Abstract:Objective To investigate the invasive prenatal diagnosis and detecting methods for TORCH infections and to study the in utero transmittion rate. Methods Amniocentesis and cordocentesis by guided B-ultrasound were performed on 195 cases of pregnant women with positive TORCH-IgM. TORCH-DNA(RNA) or TORCH-IgM from amniotic fluid and cord blood samples was detected by PCR(RT-PCR), ELISA or MEIA. Results All the performances of amniocentesis and cordocentesis were successful without severe maternal and fetuses' complications. 17 fetuses were infected with an infection rate 8 7% in utero transmittion. Conclusion Invasive prenatal diagnosis is safe and efficient. TORCH infections can transmit in utero. Detecting methods for TORCH infections need to be improved.
Keywords:TORCH infection Invasive prenatal diagnosis In utero transmit Examine
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