临床荟萃

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15例Turner综合征患者临床特征和染色体核型分析

  

  1. 兰州大学第一医院 内分泌科,甘肃 兰州 730000
  • 出版日期:2017-08-05 发布日期:2017-08-10
  • 通讯作者: 通信作者:刘靖芳,Email:ljf824168@126.com

Clinical features and chromosomal  karyotype analysis of 15 cases of Turner syndrome

  1. Department of Endocrinology,  the First Hospital of Lanzhou University,  Lanzhou 730000, China
  • Online:2017-08-05 Published:2017-08-10
  • Contact: Corresponding author: Liu Jingfang,Email:ljf824168@126.com

摘要: 目的  收集并分析Turner综合征(turner syndrome,TS)患者的临床资料,加强对TS患者临床特征及染色体异常的认识。方法  收集15例TS患者的病史,以及实验室、影像学检查结果。结果  15例TS患者中发现染色体核型4种,9例患者核型为45,X0,1例为46,XX/45,X0,4例为46,X,i(Xq),1例为46,X,inv(Xq)。初诊年龄≤18岁的患者10例,其中8例身高在同龄女童身高第3百分位数以下,2例在第10百分位数以下。15例患者均存在不同程度的乳房及外阴发育异常,阴毛、腋毛均缺如。12例患者子宫发育异常;10例卵巢发育异常。12例患者雌二醇降低,卵泡刺激素、黄体生成素相对偏高。8例患者合并桥本甲状腺炎,其中2例合并亚临床甲状腺功能亢进,1例合并Graves’甲亢,3例合并亚临床甲状腺功能减退,1例合并甲状腺功能减退。5例肝功能异常;1例合并2型糖尿病。合并先天性心脏病-房间隔缺损1例;合并马蹄肾1例。结论  TS患者染色体核型众多,临床体征各不相同,但均有生长发育迟缓及性腺发育不良的特征。

关键词: 特纳综合征, 染色体

Abstract: Objective  To collect and analyze the clinical data of patients with Turner syndrome(TS), and to strengthen the understanding of clinical features and chromosomal abnormalities in patients with TS. Methods  A total of 15 patients with TS  were  included and the results of laboratory tests and imaging findings were collected. Results  There were 4 kinds of chromosome karyotypes in these patients, 9 cases were 45,X0,1 case was 46, XX/45, X0, 4 case was 46, X,i(Xq) and 1 case was 46, X,inv(Xq). The primary diagnosis age of 10 patients was ≤18 years old.  The height 8 patients was  less than the third percentage of height in girls of the same age, 2 of them less than the tenth percentage.Breast and vulva with different degrees of dysplasia were found in 15 patients and their  pubic hairs and armpit hairs were absent. The abnormal development of uterine and ovarium were 12 and 10 cases, respectively. Totally 12 cases of patients showed decrease in estradiol, but their  follicle stimulating hormone and luteinizing hormone were relatively high. Totally  8 cases of patients associated with Hashimoto thyroiditis,in which the complications of subclinical hyperthyroidism, Graves' hyperthyroidism, subclinical hypothyroidism and hypothyroidism were  2,1,3,1 cases, respectively. Totally 5 cases of patients showed abnormality in liver function; 1 case of them had type 2 diabetes mellitus. There was 1 case of them had combined atrial septal defect of congenital heart disease and 1 associated with the disease of horseshoe kidney. Conclusion  The patients with TS have many different kinds of chromosome karyotypes and clinical signs, but they all have the characteristics of growth retardation and gonadal dysgenesis.

Key words: turner syndrome, chromosomal