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Dr M. Buscaglia L. Ghisoni M. Bellotti A. M. Marconi P. Zamperini L. Stripparo A. Molinari M. G. Grimoldi F. Rossella 《黑龙江环境通报》1995,15(1):17-19
We present a technique to aspirate amniotic fluid from both sacs in biamniotic twin pregnancies using a single abdominal insertion with a spinal needle. It was successful in 48 out of 55 cases of biamniotic twin pregnancies referred to our perinatal unit between 1985 and 1994. The single insertion technique was used when the inter-amniotic membrane was clearly evident and two separate free amniotic fluid pools could be reached by the operator with a single puncture. An adequate amount of amniotic fluid was sampled from both sacs to make a cytogenetic diagnosis in all cases. There were four fetuses with trisomy 21 in three twin pregnancies. In two cases, only one twin was affected whilst the co-twin was normal, so that a selective feticide was performed. No miscarriages due to genetic amniocentesis were reported. After 1990, all genetic amniocenteses in biamniotic twin pregnancies (except for one case due to late booking) were performed between 14 and 15 weeks of gestation and with all cases except one, it was possible to sample both twins by a single puncture. We suggest that early amniocentesis (14–15 weeks) by a single abdominal puncture could be a reliable and safe alternative to first-trimester chorionic villus sampling in twin pregnancies. 相似文献
427.
Steen Smidt-Jensen Claes Lundsteen Anne-Marie Lind Kirsten Dinesen John Philip 《黑龙江环境通报》1993,13(10):957-969
Transabdominal chorionic villus sampling (TA-CVS) was performed in 210 pregnancies from 13 to 38 weeks using a double-needle technique. The sampling success was comparable to first-trimester TA-CVS and the diagnostic success rate was 98.2 per cent for the short-term technique and 99.3 per cent for cultured villi. Two fetuses could not be karyotyped. We found the chromosome quality to be similar to that in the first trimester, comparing the number of G-bands and other chromosome attributes. There were no unintended losses in a group (n = 142) with no sonographic abnormality, except for one death in utero at 38 weeks, 20 weeks after sampling. Chromosomal aberrations were seen in 19 per cent of cases with abnormal sonograms (n = 58). One case of a discordant karyotype was found (false-negative prediction of Down's syndrome by the short-term preparation). There were no cases of fetal demise due to feto-maternal bleeding. It is suggested that double-needle TA-CVS in advanced pregnancies combines the advantages of rapid karyotyping of chromosomes of good quality and low risk for the fetus, and seems to be easier to practise and is probably safer than cordocentesis. 相似文献
428.
Siegfried Rotmensch Marco Liberati Jia-Sen Luo Giovanni Tallin Maurice J. Mahoney John C. Hobbins 《黑龙江环境通报》1991,11(11):867-873
Many authors have suggested that individuals affected by a terminal 1q deletion display a phenotypically definable and recognizable syndrome. In all of the 27 cases reported to date, the breakpoints were at band q42 or distally to it. To our knowledge, we report the first case of a terminal 1q41 deletion. Diagnosis was made prenatally by amniocentesis, following ultrasonographic diagnosis of omphalocele, cerebral ventriculomegaly, and increased nuchal fold thickness in a 19-week female fetus. Multiple facial and extremity features were consistent with the proposed distal 1q deletion syndrome; omphalocele, however, has not been reported previously. The absence of liver herniation into the omphalocele sac in this case supports the previously reported association of this finding with chromosomal anomalies. 相似文献
429.
Aris Antsaklis John Politis Costas Karagiannopoulos Dionysios Kaskarelis Photini Karababa John Panourgias Marina Boussiou Dimitris Loukopoulos 《黑龙江环境通报》1984,4(4):289-296
Selective feticide is the procedure of choice when, in twin binovular pregnancy, only one of the fetuses is shown to be affected. As the probabilities for this condition are almost 1:2 when the genetic disease is due to homozygosity for two autosomal recessive genes, the problem is expected to occur frequently among the ever increasing number of couples seeking prenatal diagnosis of thalassaemia and the haemoglobinopathies. The present report is the first case of this condition and the ninth in the overall medical literature. 相似文献
430.
A survey is given on fluid-dynamic effects caused by the structure and properties of biological surfaces. It is demonstrated
that the results of investigations aiming at technological applications can also provide insights into biophysical phenomena.
Techniques are described both for reducing wall shear stresses and for controlling boundary-layer separation. (a) Wall shear
stress reduction was investigated experimentally for various riblet surfaces including a shark skin replica. The latter consists
of 800 plastic model scales with compliant anchoring. Hairy surfaces are also considered, and surfaces in which the no-slip
condition is modified. Self-cleaning surfaces such as that of lotus leaves represent an interesting option to avoid fluid-dynamic
deterioration by the agglomeration of dirt. An example of technological implementation is discussed for riblets in long-range
commercial aircraft. (b) Separation control is also an important issue in biology. After a few brief comments on vortex generators,
the mechanism of separation control by bird feathers is described in detail. Self-activated movable flaps (=artificial bird
feathers) represent a high-lift system enhancing the maximum lift of airfoils by about 20%. This is achieved without perceivable
deleterious effects under cruise conditions. Finally, flight experiments on an aircraft with laminar wing and movable flaps
are presented. 相似文献