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Complete chromosome 9 trisomy (T9) is a rare and fatal chromosomal disorder. We performed non-invasive prenatal testing (NIPT) in a patient with threatened abortion symptoms and found that the fetal was at risk for complete chromosome 9 trisomy. This shows that NIPT has certain accuracy in detecting trisomy of chromosome 9, which provide options for prenatal diagnosis of rare chromosomal abnormalities.
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Amniocentese , Teste Pré-Natal não Invasivo , Feminino , Gravidez , Humanos , Trissomia/diagnóstico , Trissomia/genética , Cromossomos Humanos Par 9RESUMO
Vascular endothelial growth factor (VEGF) and placental growth factor (PlGF) serve key roles in the regulation of vascular development, revascularization and vasopermeability in the endometrium, decidua and trophoblasts. Furthermore, both VEGF and PlGF are modulators of embryonic vascular development. Thus, the present study aimed to investigate the serum levels of VEGF and PlGF in female patients with early threatened abortion (TA) who experienced preterm delivery. The present case-control study included 130 pregnant patients with or without TA that were admitted to The Maternal and Childcare Hospital of Nantong University from January 2019 to January 2022. Patients were divided into two groups: i) Group A, which included 55 patients diagnosed with TA with slight vaginal bleeding and closed cervical internal os within the first 6-12 weeks of pregnancy; and ii) group B, which included 75 patients with healthy asymptomatic pregnancy. Blood samples were obtained from all patients and VEGF and PlGF levels were examined prior to treatment, and the chi-squared, Student's t-test and two-way ANOVA followed by Bonferroni's post hoc analysis were used to analyze statistical differences between the two patient groups. Results of the present study demonstrated that patients with TA had significantly lower levels of VEGF and PlGF, compared with the controls. In patients with or without TA, the levels of serum PlGF in the preterm delivery group were significantly decreased compared with patients that did not experience preterm delivery. However, there was no significant difference in the levels of VEGF between patients with or without preterm delivery. In addition, lower levels of PlGF, compared with those in patients without TA, may be associated with an increased risk of preterm delivery in patients without early TA.
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Objective To discuss the distribution laws of TCM syndromes of early threatened abortion; To analyze the related factors of pregnancy outcome of early threatened abortion. Methods The study included 1010 hospital patients who were diagnosed as early threatened abortion. Excel2010 was used to establish database in order to collect general information such as the age, menstrual history, times of abortion and adverse pregnancy, incidence of solar term and pregnancy week, the type of TCM syndromes and the pregnancy outcome (at least 3 months after being out of hospital) of patients. The distribution laws of TCM syndromes, and related factors of pregnancy outcome were analyzed. Results Among the 1010 cases, 762 cases were with kidney deficiency syndrome (75.4%); followed by blood heat syndrome, a total of 178 cases, accounting for 17.6%; qi and blood deficiency syndrome, a total of 40 cases, accounting for 4%; blood stasis syndrome, a total of 15 cases, accounting for 1.5%; liver stagnation syndrome, a total of 15 cases, accounting for 1.5%. The distribution of TCM syndromes was statistical significance in the different age groups and the incidence of pregnancy week (P0.05). Among the 1010 cases, follow-up to 698 cases, 567 cases were successful pregnancies, accounting for 81.2% of the follow-up of patients; 131 cases were failed pregnancies, accounting for 18.8% of the follow-up of patients. In the study, it found that there was statistical significance between different age groups and pregnancy outcomes (P=0.026). The pregnancy outcomes were related to the age groups (P=0.012, OR=1.063), and it was not related to TCM syndromes, times of abortion, times of adverse pregnancy, menstruation, pregnancy week. Conclusion Kidney deficiency syndrome is the main syndrome of early threatened abortion. The distribution of TCM syndromes is related to the age group and the incidence of pregnancy week of patients. Age of patients is the related factor affecting the pregnancy outcome.
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Objective To explore the application of Duff in treatment for patients with early stage threat ened abortion.Method 1000 patients with early stage threatened abortion admitted from Jan.2015 to Jun.2016 were selected,and were divided into two groups.All patients were treated by conventional therapy and Duff therapy.Treatment effects of the two groups were observed and compared.Results The differences of clinical characteristics between the two groups had no statistical significance (all P＞0.05).No serious adverse reactions oc curred to either group.There was no significant difference in remission and disappearance time of clinical symptoms between the two groups (t=0.334,0.367,all P＞0.05).The total treatment efficiency was higher in the observation group than in the control group,but the differences had no statistical significance (x2=0.058,/P＞0.05).Conclusion There is a certain application value of Duff treatment for early stage threatened abortion,which is safe,efficient,and convenient,worthy of promotion.
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OBJECTIVE:To explore the clinical efficacy and safety of Yunkang granule combined with dydrogesterone in the treatment of early threatened abortion. METHODS:128 patients with early threatened abortion were randomly divided into single drug group and combined medication group,64 cases in each group. Single drug group received Dydrogesterone tablet with first dose of 40 mg,then 10 mg,q 12 h until vaginal bleeding;combined medication group additionally received 8 g Yunkang granule, tid,until symptoms disappeared. Human chorionic gonadotropin (HCG),clinical symptoms remission time and disappearance time,pregnancy/childbirth complications,pregnancy outcome and neonatal adverse outcome,and the incidence of adverse reac-tions in 2 groups were compared. RESULTS:After treatment,HCG in 2 groups significantly increased,and combined medication group was higher than single drug group,the differences were statistically significant(P0.05). The incidence of adverse reactions in combined medication group was 10.9%, which was significantly lower than single drug group (40.6%),the difference was statistically significant (P<0.05). CONCLU-SIONS:Both dydrogesterone alone and Yunkang granule combined with dydrogesterone show good efficacy in the treatment of ear-ly threatened abortion,but the remission time and disappearance time of clinical symptoms and adverse reactions in combined medi-cation group are less than that in single drug group.
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Objective To study clinical significance of INF -γ, IL-10 and Pregnancy hormonal changes in the serum of patients with early threatened abortion merged chorionic hemorrhage ( SCH ) .Methods 30 cases of pregnant patients with threatened abortion and SCH 5-9 weeks for the study group;30 cases of patients with threat-ened abortion pregnant 5-9 weeks no SCH for the control group I;and 30 cases of 5-9 weeks gestation in normal pregnant women as control group II .The concentrations of β-HCG, progesterone (p), estradiol (E2), INF-γand IL-10 in peripheral venous blood were assayed with enzyme -linked immunosorbent assay (ELISA).Results Pro-gesterone, estradiol and β-HCG had not statistical significance between the study group and the control group .β-HCG, Progesterone and E2 of the study group is significantly lower than the control group II , and it had a statistically significant difference (p<0.05).INF-γof the study group was significantly higher than control group II with statis-tical significance (p<0.05).IL-10 of study group was significantly lower than the control group II with statistical significance (p<0.05).Conclusion Increased INF-γand reduced IL-10 appeared in early threatened abortion with increased SCH .One of the important factors causing the chorionic hemorrhage is the increased INF -γand re-duced IL-10.
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Objective To investigate the clinical value of serum progesterone, β-HCG combined detection in early threatened abortion. Methods According to the result of pregnancy in the hospital, 140 cases of early threatened abortion maternal and were divided into two groups, that threatened abortion group 90 cases( threatened abortion symptoms in early pregnancy but after follow-up miscarriage treatment successful producers).And abortion 50 cases (threatened abortion symptoms in early pregnancy, but after conventional therapy, the miscarriage was failure and termination of pregnancy ).And 90 cases of normal pregnant women were selected as control group in the same period of birth to check in the hospital,and detected in serum progesterone and β-HCG content of three groups of patients, and analyzed.Results Between threatened abortion group and the control group, serum progesterone and β-HCG was no significant difference.West blot results, the value of serum progesterone in abortion group was significantly lower than the other 2 groups, abortion group β-HCG was lower than that of the control group and threatened abortion group, with significant difference ( P12.2ng/mL, maternal pregnancy continued probability was greater than the natural abortion, with significant difference ( P5000 IU/mL, maternal pregnancy continued probability was greater than the natural abortion, with significant difference ( P<0.05 ).Progesterone, β-HCG, progesterone and β-HCG joint detection, joint detection sensitivity ( 87.09%) was higher than progesterone, β-HCG alone detection ( 76.33% and 60.34%) , the difference was statistically significant (P<0.05 ).Progesterone, β-HCG, progesterone joint detection of specific were 85.00%, 100.00% and 90.00%, there were not statistically significant.Conclusions Serum progesterone and β-HCG joint detection for early threatened abortion diagnosis has guiding significance, can improve the accuracy and sensitivity of the test results, which can effectively guide clinical practice.
