胎儿纤连蛋白
快速浏览
为何检测?
帮助评估孕妇是否存在早产风险。
何时检测?
孕期第22-34周,同时有早产症状时可。
何种样本?
宫颈或阴道粘液样本。
检测样本
检测什么?
胎儿纤连蛋白(fetal fibronectin, fFN)是可用于预测早产短期风险的糖蛋白。fFN由位于羊膜囊和母亲子宫内膜(蜕膜)之间接合处的绒毛膜滋养细胞产生。胎儿纤连蛋白在此接合处可大量检出并维持接合处的完整性。妊娠早期即可在宫颈阴道粘液检测到fFN,24周以后则检测不到fFN。但是,在妊娠36周后又可重新检测到fFN。
据美国妇产科学会(ACOG)称,正常的孕期为40周,妇女可在怀孕36-42周时分娩。孕期36周以后在宫颈阴道粘液中检测到fFN是正常的,因为fFN通常在准备好分娩时释放。妊娠早期在阴道粘液中升高的fFN反映了子宫胎接合处组织正常的生长和建立。当这一过程结束,fFN水平逐渐降低。孕期22-36周之间不能检测到fFN。此期间fFN水平升高反映子宫胎盘接合处失调,且与早产风险增高相关。
测试样本如何采集?
使用聚酯纤维拭子采集阴道后穹窿或宫颈开口处分泌物。
试验
常见问题
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参考文献
注意:本文是在此处引用的参考文献和医学检验项目在线介绍编辑审核委员会全体成员的经验和研究结果的基础上总结而成。本文由编辑委员会定期审核、更新。任何新引用的文献都会添加到列表中,并且会与原有的参考文献区分开。
S1
Thomas, Clayton L., Editor (1997). Tabers Cyclopedic Medical Dictionary. F.A. Davis Company, Philadelphia, PA [18th Edition].
S2
Pagana, Kathleen D. & Pagana, Timothy J. (2001). Mosbys Diagnostic and Laboratory Test Reference 5th Edition: Mosby, Inc., Saint Louis, MO.
S3
Palkhivala, A.(2002 October 23). AAFP: Foetal Fibronectin Testing May Reduce Need for Transfer to Tertiary Care Centers [7 paragraphs]. Doctors Guide Global Edition [On-line information]. Available FTP: http://www.pslgroup.com/dg/221052.htm
S4
A Diagnostic Test for Accessing the Risk of Preterm Delivery 12 paragraphs].fFN Professional Home Page, Adeza [On-line information from company]. Available as PDF file
S5
Fetal Fibronectin (fFN): A Test for Preterm Delivery [8 paragraphs]. March of Dimes, Professionals and Researchers, Quick Reference and Fact Sheets [On-line information]. Available FTP: http://www.marchofdimes.com/professionals/681_1149.asp
S6
(2000 Spring). Cervical-Vaginal Fetal Fibronectin (fFN) Testing to Predict Preterm Labor & Delivery [7 paragraphs]. University of Washington Dept of Laboratory Medicine Perspectives [Online community newsletter]. Available as PDF file: http://depts.washington.edu/labweb/test/pers/perspr00.pdf
S7
High Risk Pregnancy, Preterm Labor [27 paragraphs]. University of Utah Health Sciences Center [On-line information]. Available FTP: http://www.uuhsc.utah.edu/healthinfo/pediatric/hrpregnant/ptl.htm
S8
(2002 April 25, Updated). Fetal Fibronectin for the Prediction of Preterm Labor [6 paragraphs]. Institute for Clinical Systems Improvement, Knowledge Resources Technology Assessment Report [On-line information]. Available FTP: http://www.icsi.org/knowledge/detail.asp?catID=107&itemID=281
S9
Goldenberg, R. (2002 November). High-Risk Pregnancy Series: An Expert's View, The Management of Preterm labor [57 paragraphs]. [On-line information]. Available online
S10
(2002 July). FFN, A Test to Aid in the Assessment of Preterm Delivery Risk [45 paragraphs]. Adeza Biomedical Fetal Fibronectin Enzyme Immunoassay and Rapid fFN for the Tli System [On-line information]. Available as PDF file: http://www.ffntest.com/wwwroot/Images/Professional/pdf/01145-03.pdf
S11
Mark, P. et. Al. (2000 January). ICSI Medical Brief, Fetal Fibronectin for the Prediction of Preterm Labor [54 paragraphs] ICSI Technology Assessment Report, TA #47 [On-line report]. Available FTP: http://www.icsi.org/knowledge/detail.asp?catID=107&itemID=281. Home is: http://www.icsi.org/index.asp
S12
Von Der Pool, B. (1998 May 15). Preterm Labor: Diagnosis and Treatment [35 paragraphs]. AAFP American Family Physician [On-line Journal]. Available FTP: http://www.aafp.org/afp/980515ap/vonderp.html
S13
Pagana, Kathleen D. & Pagana, Timothy J. (© 2007). Mosbys Diagnostic and Laboratory Test Reference 8th Edition: Mosby, Inc., Saint Louis, MO. Pp 445-446.
S14
Wyatt, S. and Rhoads, S. (2006 September 19). A Primer on Antenatal Testing for Neonatal Nurses: Part 1. Tests Used to Predict Preterm Labor [28 paragraphs]. Medscape from Adv Neonatal Care. 2006;6(4):175-180. [On-line information]. Accessed on: 2/28/07. Available FTP: http://www.medscape.com/viewarticle/543521
S15
(© 2007). Fetal Fibronectin (fFN): A Test for Preterm Delivery [9 paragraphs]. March of Dimes [On-line information]. Accessed on: 2/27/07. Available FTP: http://www.marchofdimes.com/professionals/681_1149.asp
S16
(© 2007). What is Preterm Labor [33 paragraphs]. The American College of Obstetricians and Gynecologists (ACOG) [On-line information]. Accessed on: 3/4/07. Available FTP: http://www.acog.org/publications/patient_education/bp087.cfm
S17
FullTerm, The Fetal Fibronectin Test [10 paragraphs]. ADEZA [On-line information]. Accessed on: 3/3/07. Available FTP: http://www.ffntest.com/html/HCP_US_FullTerm.htm




















