国际生殖健康/计划生育 ›› 2013, Vol. 32 ›› Issue (6): 433-437.

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单基因病的产前诊断研究进展

严 恺, 金 帆   

  1. 310006 杭州,浙江大学医学院附属妇产科医院生殖遗传科,生殖遗传教育部重点实验室
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2013-11-15 发布日期:2013-11-15
  • 通讯作者: 金 帆

Prenatal Diagnosis of Single-Gene Defects

YAN Kai,JIN Fan   

  1. Department of Reproductive and Genetics, Women′s Hospital, Zhejiang University; Key Laboratory of Reproductive and Genetics, Ministry of Education, Hangzhou 310006, China.
  • Received:1900-01-01 Revised:1900-01-01 Published:2013-11-15 Online:2013-11-15
  • Contact: JIN Fan

摘要: 单基因病是导致新生儿出生缺陷的主要原因之一,大多数单基因病患者预后不佳。对于有单基因病患儿出生史的家系,在先证者致病基因及突变类型明确的基础上,可通过产前诊断防止患儿的出生。目前,单基因病的产前诊断可分为植入前遗传学诊断(PGD)和妊娠期产前诊断。传统的产前诊断通过有创手术获取胎儿源性标本,准确性高,但具有一定程度的流产风险。PGD和无创产前诊断(NIPD)作为新的产前诊断方式,在一定程度上可作为传统方式的补充。综述单基因病产前诊断技术的研究进展及遗传咨询的重要意义,为临床实践产前诊断的方案制定提供一定的思路。

关键词: 遗传性疾病, 先天性, 产前诊断, 植入前诊断, 基因, 遗传咨询, 单基因病

Abstract: Single-gene defects, which has the unfavorable prognosis, is the main cause of the newborn's defect. Couples can prevent birth of child carrying the same genetic disorder with the proband. Currently, the prenatal diagnosis contains preimplantation genetic diagnosis and trimester prenatal diagnosis. Traditional invasive prenatal diagnosis acquire specimens from fetal relying on surgery. It is accurate, but with a certain risk of miscarriage. The new method of prenatal diagnosis (such as preimplantation genetic diagnosis and non-invasive prenatal diagnosis) and the traditional way are complementary to one another. In this review, we discuss the progress of prenatal diagnosis of Single-gene defects and the significance of genetic counseling in order to provide some ideas in clinical practice.

Key words: Genetic diseases, inborn, Prenatal diagnosis, Preimplantation diagnosis, Genes, Genetic counseling, Single-gene defects