首页|染色体微阵列技术在2000例儿科患者中的应用

染色体微阵列技术在2000例儿科患者中的应用

Chromosomal microarray analysis of 2000 pediatric cases

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目的 讨论出生缺陷与染色体异常的关系以及染色体微阵列(chromosomal microarrayanalysis,CMA)在儿科遗传病诊断中的应用价值.方法 收集临床评估的出生缺陷患儿外周血样本2000例,应用CMA进行分析.结果 在2000例出生缺陷患儿中,522例找出了致病原因,检出率达26.1%.其中24例为非整倍体,11例为嵌合体,11例为单亲二倍体,其余476例为染色体微缺失/微重复,这些异常应用染色体核型分析很难检出.结论 相对于染色体核型分析,CMA可显著提高出生缺陷患儿的检出率.
Objective To assess the feasibility of chromosomal microarray analysis (CMA) for studying the correlation between birth defects and chromosomal aberrations.Methods A total of 2000 patients with birth defects were recruited for the CMA testing.Results Five hundred twenty two patients (26.1%) were found to have chromosomal abnormalities.These included 24 cases with numerical abnormalities,11 with mosaicisms,and 11 with uniparental disomies.The remaining 476 cases were of wellknown microdeletion or microduplication syndromes.The advantage of CMA over conventional karyotyping was demonstrated in many cases.Conclusion As a powerful tool for patients with birth defects,CMA can produce a higher diagnostic yield compared with conventional karyotyping.

Birth defectChromosomal microarray analysisKaryotypingCopy number variants

袁海明、朱钧萍、邓小燕、陈梦帆、李欣蔚、李秋丽、吕芬

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510330 广州金域医学检验中心有限公司

出生缺陷 染色体微阵列 染色体核型分析 拷贝数变异

2016

中华医学遗传学杂志
中华医学会

中华医学遗传学杂志

CSTPCDCSCD北大核心
影响因子:0.562
ISSN:1003-9406
年,卷(期):2016.33(2)
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