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41.
42.
Dr. Michael J. McCormack Margaret E. Rylance William E. Mackenzie John Newton 《黑龙江环境通报》1990,10(4):253-255
The attitudes of 190 patients who had undergone chorionic villus sampling (CVS) were assessed by means of a questionnaire. One hundred and fifty-two patients replied of whom 68 (45 per cent) were referred because of increased maternal age and in the other 84 cases the indications included previous chromosomal abnormalities, fetal sexing, DNA analysis, and biochemical analysis. One hundred and twenty-two patients had a transcervical procedure, 24 had a transabdominal, and six patients required both procedures. One hundred and forty-one patients (93 per cent) reported CVS to be a satisfactory procedure, and the same percentage thought earlier diagnosis was beneficial. Thirty-nine patients (81 per cent) reported a better experience with CVS than with a previous amniocentesis. A majority of patients (93 per cent) wished a CVS in a future pregnancy and 137 patients (97 per cent) would accept a risk of miscarriage from the procedure of twice that quoted for amniocentesis (1 per cent). 相似文献
43.
Ellen Sidransky Susan H. Black Dawn M. Soenksen Shirley L. Jones Andrew D. Dorfmann Joseph D. Schulman MD 《黑龙江环境通报》1990,10(9):583-586
Chorionic villus sampling (CVS) with either transcervical catheters or transabdominal needles is a widely-accepted method for prenatal diagnosis. However, there exists a small subset of patients in whom sampling is difficult or impossible with either route because of individual anatomic variations. A new method of chorionic villus biopsy has been developed to circumvent these problems, utilizing transvaginal chorionic needle aspiration guided by an intravaginal ultrasound probe. This technique was performed successfully in 15 patients in whom villi could not be obtained by either of the conventional methods. This method now makes CVS possible in essentially all women regardless of their uterine anatomy or placental placement; it may also prove useful for very early chorionic sampling. 相似文献
44.
This paper reports results of an exploratory study of prenatal diagnosis patients who experienced voluntary terminations of pregnancy following the detection of an abnormality or spontaneous miscarriages. The 121 participants were part of the national collaborative Chorionic Villus Sampling and Amniocentesis Study. They completed semi-structured telephone interviews and mailed questionnaires at 1 month and 6 months after the pregnancy losses. Scores on the Profile of Mood States showed that mood levels improved significantly over time. However, there were some declines in loss-related support from partners and others. The persisting distress and difficulties of a minority highlight the variability in women's responses to pregnancy losses. Women who lost pregnancies later in gestation, showed the greatest mood disturbances at initial assessments, used professional mental health assistance after the loss, or reported less satisfactory loss-related support from significant others showed the greatest levels of mood disturbance at the six-month assessment. Follow-up contacts with patients who lose pregnancies should be used to inform women about the variation in possible grief reactions, to assess the extent of support the women are receiving from their partners and significant others, and to provide additional follow-up or referral of those experiencing the greatest distress. 相似文献
45.
Dr. C. Dawn DeLozier-Blanchet Eric Engel Philippe Extermann Béatrice Pastori 《黑龙江环境通报》1988,8(4):281-286
Cytogenetic study of chorionic villi sampled because of advanced maternal age revealed, after overnight culture, an apparently non-mosaic trisomy 7. Amniocentesis showed exclusively normal mitoses, and the pregnancy continued normally. One hundred mitoses from cord blood of the normal newborn revealed a non-mosaic 46,XX complement. No cells with a proven trisomy 7 were found in cultures from either of two biopsies of the morphologically normal placenta, but the peripheral biopsy showed in multiple cultures an abnormal clone: 47,XX, + 20,-2,-21, + t(2;21)(p13;q22). To our knowledge, this is the first case of non-mosaic trisomy 7 detected on CVS which has had follow-up studies of amniotic fluid, cord blood, and term placenta. 相似文献
46.
M. L. Smith O. L. Pellett M. M. J. Cass N. G. Kennaway N. R. M. Buist J. Buckmaster M. Golbus G. S. Spear J. A. Schneider 《黑龙江环境通报》1987,7(1):23-26
The prenatal diagnosis of cystinosis is currently based on the increased amount of free-cystine present in amniotic fluid cells. Amniocyte cultures must be grown for at least 2 weeks to obtain sufficient cells for such measurements. Thus, the diagnosis cannot be made until close to 20 weeks gestational age by this method. We report a case in which chorionic villi were used for direct cystine measurement resulting in the in utero diagnosis of cystinosis at 9 weeks gestational age. The diagnosis was confirmed by the study of cultured chorionic villus cells, and of the 10-week abortus. 相似文献
47.
The prenatal diagnosis of The Turner Syndrome is described at a menstrual age of 12 weeks. Detection of cystic hygroma was followed by vaginal chorionic villous sampling (CVS) which revealed a 45,X karyotype. Early documentation of fetal karyotype in the presence of a cystic hygroma is essential for accurate diagnosis and genetic counselling. 相似文献
48.
清洁生产是世界各国推进可持续发展所采用的一项基本策略,是《中国21世纪议程》提出的工业、交通、能源等实现可持续发展的核心战略措施。本文简要论述了清洁生产的内涵、大力推行清洁生产的必要性、实现清洁生产的技术方法。 相似文献
49.
Upper limb reduction was diagnosed by ultrasound scan at 17 weeks after chorion villus sampling at 9 weeks' gestation. Pregnancy was terminated and necropsy confirmed limb reduction in an otherwise normal fetus. The relationship of limb reduction to amniotic band syndrome is discussed. 相似文献
50.
应用Al-Ferron法于悬浮体系中聚合铝的形态分布表征,对其中的主要影响因素进行探讨,就不同碱化度聚合铝的形态分析进行实例研究.结果表明,混合方式对Al-Feron法的应用具有一定的影响作用.比色管混合测得Ala为21.54%,低于磁力搅拌方式结果(24.52%,25.22%,25.06%).应用磁力搅拌方式可以获取较好的重复性与更多初期反应信息.颗粒物的存在对反应的影响主要取决于其浓度与粒度分布,成一定线性关系,可以从中加以扣除.在本实验范围内因其溶解所产生的影响可以忽略不计.对多个碱化度聚合铝的实例研究表明,Al-Feron法完全适用于颗粒物悬浮体系中的形态分布表征 相似文献