
A retrospective analysis of the application value of chromosome karyotyping and chromosomal microarray analysis in prenatal diagnosis
Shen Mengjie, Chen Ke, Tong Keya, Chen Hongrui, Yang Songling, Zhang Xiaodong
A retrospective analysis of the application value of chromosome karyotyping and chromosomal microarray analysis in prenatal diagnosis
Objective To investigate the application value of chromosome karyotyping and chromosomal microarray analysis(CMA) in prenatal diagnosis. Methods We retrospectively analyzed the karyotyping and CMA results of 1 575 amniotic fluid samples. Results The detection rates of abnormalities by karyotyping,CMA,and their combination were 5.84%,11.68%,and 13.65%,respectively. In the samples of normal karyotypes, for cases of sonographic structural anomalies,ultrasound soft markers,and normal structure on ultrasonography,the detection rates of pathogenic/likely pathogenic copy number variations were 3.03%,1.54%,and 1.10%,respectively. Conclusion Prenatal abnormality detection rate can be improved effectively by combining karyotyping and CMA,especially for cases of sonographic structural anomalies. The detection of chimerism should select appropriate technologies and samples. Special microstructural variations should be monitored for a long term.
chromosomal karyotyping / chromosomal microarray analysis / prenatal diagnosis / copy number variation
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