摘要
目的探讨多重探针连接依赖式扩增(multiplex ligation-dependent probe amplification,MLPA)在快速检测胎儿染色体非整倍体异常中的应用价值。方法 344例产前诊断标本同时进行MLPA检测及核型分析,所有样本进行MLPA获得的扩增产物信息经Coffalyser v9.4软件(Holland-MRC公司)进行定量分析,观察样本DNA拷贝数的变化,并将所得结果与染色体核型分析结果进行比较,计算其检测的敏感度、特异度及阳性预测值。结果 MLPA分析在标本接收后24 h内即可得出结果,共检出染色体倍体异常产前诊断标本5例,包括唐氏综合征(Down syndrome,47,+21)6例、爱德华氏综合征(Edwards syndrome,47,+18)1例。MLPA检测24h报告结果临床符合率为97.7%。结论 MLPA检测21、18、13、X、Y等染色体非整倍体疾病时,与核型分析相比较,MLPA是一种快速、高效的分析非整倍体的产前诊断的方法,具有临床应用价值。
Objective: To explore the application value of multiplex ligation - dependent probe amplification (MLPA) in rapid prenatal detection of aneuploid abnormalities. Methods : 344 amniotic samples were processed in parallel by MLPA aneuploid detection and conventional karyotype analysis. Results: 6 cases of abnormal samples were found within 24 hours after receiving samples, including 5 cases of Down syndrome, 1 cases of Edwards syndrome. The coincidence rate of MLPA was 97.7% with in 24 hours. Conclusion: When using MLPA to detect 13, 18, 21, X and Y chromosome aneuploid abnormalities, MLPA was a rapid and efficient method used for analyzing aneuploids that has the value of clinical applications compared with conventional karyotyping.
出处
《中国优生与遗传杂志》
2013年第12期62-65,共4页
Chinese Journal of Birth Health & Heredity