INDICATIONS FOR EXAMINATION OF SPONTANEOUS-ABORTION SPECIMENS - A REASSESSMENT

INDICATIONS FOR EXAMINATION OF SPONTANEOUS-ABORTION SPECIMENS - A REASSESSMENT
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DOI:
10.1016/0002-9378(95)90616-9
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发表时间:
1995-11-01
影响因子:
9.8
通讯作者:
HORGER, EO
HORGER, EO
中科院分区:
医学1区
文献类型:
--
作者:
WOLF, GC;HORGER, EO

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根据滋养层细胞培养、超声检查和染色体分析的最新技术进步,对反复妊娠丢失的临床评估进行评估。使用基于核型结果的算法,成本效益计算证实,如果强调对反复流产标本进行核型分析的政策,每个患者平均可以节省1099.47美元。据估计,在45%到70%的此类病例中,可以确定特定的染色体原因。应该做出更协调的努力,培养反复妊娠损失的滋养层组织;这样的政策将导致情感和经济回报。
The clinical evaluation of recurrent pregnancy loss is assessed in light of recent technical advances in trophoblast culture, ultrasonography, and chromosome analysis. With an algorithm based on karyotype results, cost-benefit calculations confirm that an average savings of $1099.47 per patient could be achieved if a policy of karyotype analysis of recurrent abortion specimens was emphasized. It is estimated that a specific chromosomal cause could be identified in 45% to 70% of such cases. A more concerted effort should be made to culture trophoblast tissue from recurrent pregnancy losses; such a policy would result in both emotional and financial rewards.