Abstract: 【Abstract】
objectives
To analyze and discuss the innuence of
genetic
characteristics on different
karyotype
of Tumer syndmme肌d recombinant humaJl gm叭h ho瑚one(rhGH)intenrention on the
body height.
Memods AU
pediatric patients
f如ted in the
moming
before
peripheral blood sample
was
taken.Lymphoc”e
is
conventionaUy
cultured to
produce chmmosome specimens.By using G—banding
of Pancreatin method,
kaI_yotype
was
analyzed
under the
microscope.With
clonidine and
arginine hydrochloride
dual
dmg growth
ho瑚one provocation test were
conducted.Using X—ray,pituitary magnetic resonance,ultrasound
the size and
shape
of utems and ovaries were analysed.The treatment included rhGH subcutaneous injection,0.1 5—0.2u/
(kg.d)every night
before
sleep.Resuns
In 11 cases of Tumer
syndrome patients’
karyot),pe,8 cases were
of 45,XO,1 c鹤e
45,X0,46,XX,l
case
x0+?,锄d
1 case
46,xi()【m.0ne
case
completely
lack the
merger
growth homone
and 1 case
partially
1ack
growth
ho肌one.Seven cases had no utenls demonstrated
by using
ultrasound.Eight c鹊es had
cord—like ov耐an.Three cases’ uterine and ov撕an were not well—developed.After
rhGH treatment for tlle 1l c鹊es,2 cases’
body height
was
up
to 162 cm;1 case had treatnlent for 6 montlls,
4 cases for 1
year,3
c嬲es for 2
years,1
c鹊e for 2 and a halfyears,粕d the
average increase
was 0.8±0.08clIl,
momh.Conclusion
Regarding Tumer syndrome karyotype,the
most common one is 45,X0,and there are stiU
otller karyotypes.Some patiems c舳compete or partly lack the merger gmwth homone which is one of the reason
山at mey盯e short in stature.rhGH intervention can signi6c粕tly improve the hei曲t.