切换至 "中华医学电子期刊资源库"

中华妇幼临床医学杂志(电子版) ›› 2019, Vol. 15 ›› Issue (04) : 459 -462. doi: 10.3877/cma.j.issn.1673-5250.2019.04.017

所属专题: 文献

综述

XYY综合征患儿的认知
高莎1, 陈杰1, 余海燕1,()   
  1. 1. 四川大学华西第二医院妇产科、出生缺陷与相关妇儿疾病教育部重点实验室,成都 610041
  • 收稿日期:2019-03-01 修回日期:2019-05-08 出版日期:2019-08-01
  • 通信作者: 余海燕

Promoting awareness of children with XYY syndrome

Sha Gao1, Jie Chen1, Haiyan Yu1,()   

  1. 1. Department of Obstetrics and Gynecology, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
  • Received:2019-03-01 Revised:2019-05-08 Published:2019-08-01
  • Corresponding author: Haiyan Yu
  • About author:
    Corresponding author: Yu Haiyan, Email:
  • Supported by:
    Key Research and Development Project by Science and Technology Department of Sichuan Province(2018FZ0041); Academic and Technical Leaders Training Funding Project of Sichuan Provincial Human Resources and Social Security Department([2017]919-25)
引用本文:

高莎, 陈杰, 余海燕. XYY综合征患儿的认知[J/OL]. 中华妇幼临床医学杂志(电子版), 2019, 15(04): 459-462.

Sha Gao, Jie Chen, Haiyan Yu. Promoting awareness of children with XYY syndrome[J/OL]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2019, 15(04): 459-462.

XYY综合征又被称为超雄综合征,是位居克氏综合征之后常见的男性性染色体疾病。XYY综合征的临床表型差异大。既往XYY综合征检出率较低,但是随着产前诊断技术的发展及妊娠夫妇对胎儿重视程度的增加,产前诊断为胎儿合并XYY综合征的病例增多。目前,宫内诊断胎儿合并XYY综合征后,需要多学科团队专家评估胎儿预后,对妊娠夫妇提供详细、无偏倚的临床咨询。XYY综合征患儿出生后,仍然需要多学科团队专家协作,对部分XYY综合征患儿发生的行为认知问题,进行康复训练及临床干预。对发现XYY综合征患者的育龄期夫妇,需要采取辅助生殖技术,提高其妊娠率及避免不良妊娠结局发生。笔者拟从XYY综合征患儿的遗传学背景、诊断、胎儿围生结局及出生后生存情况、临床表型、胎儿情况评估及处理等方面的最新研究进展进行阐述,旨在为可能孕育XYY综合征患儿的育龄期夫妇提供临床咨询参考。

XYY syndrome, also named as super male syndrome, is the most common Y chromosome abnormality disease behind Klinefelter syndrome. The clinical phenotypes of XYY syndrome are quite different. The detection rate of XYY syndrome was low in the past, but with the development of prenatal diagnosis technics and the increasing attention paid by couples to the fetuses, the rate of prenatal diagnosis of fetal XYY syndrome is increasing. Currently, after the intrauterine diagnosis of fetal XYY syndrome, a multidisciplinary team is required to evaluate the prognosis of the fetus, and provide detailed and unbiased clinical consultations to the pregnant couples. After the birth of children with XYY syndrome, multidisciplinary team is still needed to carry out rehabilitation intervention and training for some children with XYY syndrome who have behavioral and cognitive problems. Assisted reproductive technology is needed to improve the pregnancy rate of patients with XYY syndrome and avoid adverse pregnancy outcomes. This article focuses on the latest research progresses in genetic background, diagnosis, fetal perinatal outcomes and postnatal survival, clinical phenotypes, evaluation and treatment of children with XYY syndrome, so as to provide clinical reference for childbearing couples who may be pregnant with children with XYY syndrome.

[1]
Tartaglia NR, Wilson R, Miller JS, et al. Autism spectrum disorder in males with sex chromosome aneuploidy: XXY/Klinefelter syndrome, XYY, and XXYY[J]. J Dev Behav Pediatr, 2017, 38(3): 197-207.
[2]
Zhang XZ, Yang J, Li YH, et al. Sex chromosome abnormalities and psychiatric diseases[J]. Oncotarget, 2017, 8(3): 3969-3979.
[3]
Borjian Boroujeni P, Sabbaghian M, Vosough Dizaji A, et al. Clinical aspects of infertile 47,XYY patients: a retrospective study[J]. Hum Fertil (Camb), 2019, 22(2): 88-93.
[4]
Gruchy N, Blondeel E, Le Meur N, et al. Pregnancy outcomes in prenatally diagnosed 47, XXX and 47, XYY syndromes: a 30-year French, retrospective, multicentre study[J]. Prenat Diagn, 2016, 36(6): 523-529.
[5]
Viuff MH, Stochholm K, Uldbjerg N, et al. Only a minority of sex chromosome abnormalities are detected by a national prenatal screening program for Down syndrome[J]. Hum Reproduct, 2015, 30(10): 2419-2426.
[6]
Benn P, Borrell A, Chiu RWK, et al. Position statement from the Chromosome Abnormality Screening Committee on behalf of the Board of the International Society for Prenatal Diagnosis[J]. Prenat Diagn, 2015, 35(8): 725-734.
[7]
Lucas-Herald AK, Cann F, Crawford L, et al. The outcome of prenatal identification of sex chromosome abnormalities[J]. Arch Dis Child Fetal Neonatal Ed, 2016, 101(5): F423-F427.
[8]
Stochholm K, Juul S, Gravholt CH. Socio-economic factors affect mortality in 47,XYY syndrome: a comparison with the background population and Klinefelter syndrome[J]. Am J Med Genet Part A, 2012, 158A(10): 2421-2429.
[9]
Lalatta F, Folliero E, Cavallari U, et al. Early manifestations in a cohort of children prenatally diagnosed with 47,XYY. Role of multidisciplinary counseling for parental guidance and prevention of aggressive behavior[J]. Ital J Pediatr, 2012, 38(1): 52.
[10]
Ross JL, Tartaglia N, Merry DE, et al. Behavioral phenotypes in males with XYY and possible role of increased NLGN4Y expression in autism features[J]. Genes Brain Behav, 2015, 14(2): 137-144.
[11]
Margari L, Lamanna AL, Craig F, et al. Autism spectrum disorders in XYY syndrome: two new cases and systematic review of the literature[J]. Eur J Pediatr, 2014, 173(3): 277-283.
[12]
Re L, Birkhoff JM. The 47,XYY syndrome, 50 years of certainties and doubts: a systematic review[J]. Aggres Viol Behav, 2015, 22(1): 9-17.
[13]
Flannigan R, Schlegel PN. Genetic diagnostics of male infertility in clinical practice[J]. Best Pract Res Clin Obstet Gynaecol, 2017, 44: 26-37.
[14]
Sciurano RB, Rahn IM, González Arias B, et al. Selective advantage of euploid spermatocytes Ⅰ in an azoospermic 47,XYY man with gonadal mosaicism[J]. Hum Reprod, 2019, 34(3): 568-573.
[15]
Xu C, Zhang FF, Li HC, et al. Outcomes of preimplantation genetic diagnosis cycles by fluorescent in situ hybridization of infertile males with nonmosaic 47,XYY syndrome[J]. Chin Med J, 2018, 131(15): 1808-1812.
[16]
Aksglaede L, Skakkebaek NE, Juul A. Abnormal sex chromosome constitution and longitudinal growth: serum levels of insulin-like growth factor (IGF)-I, IGF binding protein-3, luteinizing hormone, and testosterone in 109 males with 47,XXY, 47,XYY, or sex-determining region of the Y chromosome (SRY)-positive 46, XX karyotypes[J]. J Clin Endocrinol Metab, 2008, 93(1): 169-176.
[17]
Scheidt L, Sanabe ME, Diniz MB. Oral, physical, and behavioral aspects of patient with chromosome 47, XYY syndrome[J]. J Indian Soc Pedod Prev Dent, 2015, 33(4): 347-350.
[18]
Latrech H, Skikar I, Gharbi MEH, et al. Disorder of sexual development and congenital heart defect in 47, XYY: clinical disorder or coincidence?[J]. Case Rep Endocrinol, 2015, 2015: 802162.
[19]
Kasparis C, Loffeld A. Childhood acne in a boy with XYY syndrome[J]. BMJ Case Rep, 2014, 2014: bcr2013201587.
[20]
Medina-Andrade A, Villanueva-Mendoza C, Arenas S, et al. Cataract in a patient with 47,XYY sex chromosome aneuploidy[J]. Arch Soc Esp Oftalmol, 2018, 93(6): 303-306.
[21]
Rau RE, Carroll AJ, Heerema NA, et al. Klinefelter syndrome and 47,XYY syndrome in children with B cell acute lymphoblastic leukaemia[J]. Br J Haematol, 2017, 179(5): 843-846.
[1] 王亚红, 蔡胜, 葛志通, 杨筱, 李建初. 颅骨骨膜窦的超声表现一例[J/OL]. 中华医学超声杂志(电子版), 2024, 21(11): 1089-1091.
[2] 陶宏宇, 叶菁菁, 俞劲, 杨秀珍, 钱晶晶, 徐彬, 徐玮泽, 舒强. 右心声学造影在儿童右向左分流相关疾病中的评估价值[J/OL]. 中华医学超声杂志(电子版), 2024, 21(10): 959-965.
[3] 郝玥萦, 毛盈譞, 张羽, 汪佳旭, 韩林霖, 匡雯雯, 孟瑶, 杨秀华. 超声引导衰减参数成像评估肝脂肪变性及其对心血管疾病风险的预测价值[J/OL]. 中华医学超声杂志(电子版), 2024, 21(08): 770-777.
[4] 屈翔宇, 张懿刚, 李浩令, 邱天, 谈燚. USP24及其共表达肿瘤代谢基因在肝细胞癌中的诊断和预后预测作用[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 659-662.
[5] 赵林娟, 吕婕, 王文胜, 马德茂, 侯涛. 超声引导下染色剂标记切缘的梭柱型和圆柱型保乳区段切除术的效果研究[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 634-637.
[6] 中华医学会器官移植学分会. 肝移植术后缺血性胆道病变诊断与治疗中国实践指南[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 739-748.
[7] 周迪, 全志伟. 规范化胆囊良性疾病诊治流程减少胆囊癌误诊误治[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 749-753.
[8] 郑大雯, 王健东. 胆囊癌辅助诊断研究进展[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 769-773.
[9] 袁雨涵, 杨盛力. 体液和组织蛋白质组学分析在肝癌早期分子诊断中的研究进展[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 883-888.
[10] 吴警, 吐尔洪江·吐逊, 温浩. 肝切除术前肝功能评估新进展[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 889-893.
[11] 张琛, 秦鸣, 董娟, 陈玉龙. 超声检查对儿童肠扭转缺血性改变的诊断价值[J/OL]. 中华消化病与影像杂志(电子版), 2024, 14(06): 565-568.
[12] 李浩, 陈棋帅, 费发珠, 张宁伟, 李元东, 王硕晨, 任宾. 慢性肝病肝纤维化无创诊断的研究进展[J/OL]. 中华临床医师杂志(电子版), 2024, 18(09): 863-867.
[13] 谭瑞义. 小细胞骨肉瘤诊断及治疗研究现状与进展[J/OL]. 中华临床医师杂志(电子版), 2024, 18(08): 781-784.
[14] 王子阳, 王宏宾, 刘晓旌. 血清标志物对甲胎蛋白阴性肝细胞癌诊断的研究进展[J/OL]. 中华临床医师杂志(电子版), 2024, 18(07): 677-681.
[15] 陈慧, 邹祖鹏, 周田田, 张艺丹, 张海萍. 皮肤镜对头皮红斑性皮肤病辅助鉴别诊断的研究进展[J/OL]. 中华临床医师杂志(电子版), 2024, 18(07): 692-698.
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?