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b.聖路加看護大学紀要 >
13号 >
このアイテムのファイル:
| ファイル |
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サイズ | フォーマット |
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| 19990806163345000053001.pdf | | 806Kb | Adobe PDF | 見る/開く |
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| 種類: | Departmental Bulletin Paper |
| タイトル: | 羊水穿刺による染色体検査:最近6年間の133例の分析 |
| タイトル別表記: | Chromosomal Analysis of 133 Cases Using Amniocentesis for 6 Years. |
| 著者: | 神津, 弘
林, 明澄 |
| 掲載誌: | 聖路加看護大学紀要 |
| 号: | 13 |
| 開始ページ: | 1 |
| 終了ページ: | 8 |
| 発行年月日: | 1-Oct-1987 |
| ISSN: | 02892863 |
| 抄録別表記: | We have placed emphasis on the management of high-risk pregnancies for tenyears. During the past decade, with the advance of obsterics, risk factors have changed. There is an increased trend toward minimizing the risks of mortality and morbidity to the mother and baby. Under such circumstances, there has been a great tendency that parents and family members wish to have a better and healthy baby. To meet their demands, many diagnostic techniques have been developed in a row to gain information about fetal status. Many scientific breakthroughs have been directed toward diagnosis of prenatal fetal health. Recently, for various reasons in Japan, the number of mothers 35 years of age and older has increased. In our hospital, to cope with this situation, we pay attention to those with advanced maternal age who have an increased risk of pregnancy complications and fetal anomalies. In this article, we employ amniocentesis using fetal cells to make chromosomal analysis statistically. A total of 135 patients underwent amniocentesis between January 1981 and December 1986. Of the 133 cases, four(3.0%) had Down syndrome, one had Turner's syndrome and one had a balanced reciprocal translocation. Two cases failed to determine fetal karyotype. No complications occurred with amniocentesis. It is a crucial problem for the parents and doctors how to deal with genetic disorders and their implications. There are lots of controversy concerning management and terminations of pregnancy(therapeutic abortion). We can not draw a conclusion at present. But we provide information concerning the genetic discroder or problem and all its ramifications. In addition, we discuss client management opinions, support the family in their decision, assist them in making the best possible adjustment to problem and refer to appropriate health care resources. In the future, we must team up with the genetics teams to provide more detail information and introduce chorionic villi sampling(CVS) technique for earlier diagnosis. |
| 参考文献: | 安部正雄, 是沢光彦, 佐藤孝道, 神保利春, 坂元正一:当教室で行っている遺伝相談 産婦人治療 37:64,1978.
佐々木 茂, 荒木 勤:胎児異常の早期診断 A.羊水情報, 産婦人科の実際 35:169, 1986
John T. Queenan:Amniocentesis Management of high-risk Pregnancy. p201-213, 1985 2nd edition. MTP press Limited, Falcon House Lancaster, England.
鈴森 薫, 中原靖典:染色体異常と出生前診断, 産婦人科の実際, 35:451, 1986
松永 英:日本における遺伝性疾患の頻度, 小児科Mook, No32, p1, 金原出版, 東京 1984
木田盈四郎, 上原真理子:新生児の染色体異常, 産婦人科の実際, 35:471, 1986
香山文美, 佐藤孝道:染色体異常と遺伝相談, 産婦人科の実際, 35:513, 1986
Lawrence D.Platt, Lynden M. Hill, Greggory R. DeVore.Amniocentesis:Current Concepts and Techniques.The Principles and Practice of Ultrasonography in Obstetrics and Gynecology 3rd edition p375-385 Sanders James 1986 |
| リンクURL: | http://hdl.handle.net/10285/190 |
| 出現コレクション: | 13号
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この研究成果の引用には次のURIを利用してください。:
http://hdl.handle.net/10285/190
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