{"id":116182,"date":"2025-09-25T10:26:59","date_gmt":"2025-09-25T01:26:59","guid":{"rendered":"https:\/\/www.hiro-clinic.or.jp\/nipt\/?p=116182"},"modified":"2025-09-25T10:27:02","modified_gmt":"2025-09-25T01:27:02","slug":"downsyndrome-shussezen-kensa","status":"publish","type":"post","link":"https:\/\/www.hiro-clinic.or.jp\/nipt\/downsyndrome-shussezen-kensa\/","title":{"rendered":"\u30c0\u30a6\u30f3\u75c7\u306b\u95a2\u9023\u3059\u308b\u51fa\u751f\u524d\u691c\u67fb\u306e\u7a2e\u985e\u3068\u7279\u5fb4"},"content":{"rendered":"\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_84 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">\u76ee\u6b21<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/downsyndrome-shussezen-kensa\/#%E3%81%AF%E3%81%98%E3%82%81%E3%81%AB\" >\u306f\u3058\u3081\u306b<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/downsyndrome-shussezen-kensa\/#1_%E3%83%80%E3%82%A6%E3%83%B3%E7%97%87%E3%81%A8%E3%81%AF\" >1. \u30c0\u30a6\u30f3\u75c7\u3068\u306f<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/downsyndrome-shussezen-kensa\/#%E7%99%BA%E7%94%9F%E9%A0%BB%E5%BA%A6\" >\u767a\u751f\u983b\u5ea6<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/downsyndrome-shussezen-kensa\/#2_%E5%87%BA%E7%94%9F%E5%89%8D%E6%A4%9C%E6%9F%BB%E3%81%AE%E5%88%86%E9%A1%9E\" >2. \u51fa\u751f\u524d\u691c\u67fb\u306e\u5206\u985e<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/downsyndrome-shussezen-kensa\/#2-1_%E9%9D%9E%E4%BE%B5%E8%A5%B2%E7%9A%84%E6%A4%9C%E6%9F%BB%EF%BC%88NIPT%E3%83%BB%E3%82%B9%E3%82%AF%E3%83%AA%E3%83%BC%E3%83%8B%E3%83%B3%E3%82%B0%EF%BC%89\" >2-1. \u975e\u4fb5\u8972\u7684\u691c\u67fb\uff08NIPT\u30fb\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\uff09<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/downsyndrome-shussezen-kensa\/#1_NIPT%EF%BC%88Non-Invasive_Prenatal_Testing%EF%BC%89\" >(1) NIPT\uff08Non-Invasive Prenatal Testing\uff09<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/downsyndrome-shussezen-kensa\/#2_%E8%A1%80%E6%B8%85%E3%83%9E%E3%83%BC%E3%82%AB%E3%83%BC%E6%A4%9C%E6%9F%BB%EF%BC%88%E6%AF%8D%E4%BD%93%E8%A1%80%E6%B8%85%E3%82%B9%E3%82%AF%E3%83%AA%E3%83%BC%E3%83%8B%E3%83%B3%E3%82%B0%EF%BC%89\" >(2) \u8840\u6e05\u30de\u30fc\u30ab\u30fc\u691c\u67fb\uff08\u6bcd\u4f53\u8840\u6e05\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\uff09<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/downsyndrome-shussezen-kensa\/#2-2_%E4%BE%B5%E8%A5%B2%E7%9A%84%E6%A4%9C%E6%9F%BB%EF%BC%88%E7%A2%BA%E5%AE%9A%E8%A8%BA%E6%96%AD%EF%BC%89\" >2-2. \u4fb5\u8972\u7684\u691c\u67fb\uff08\u78ba\u5b9a\u8a3a\u65ad\uff09<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/downsyndrome-shussezen-kensa\/#1_%E7%BE%8A%E6%B0%B4%E7%A9%BF%E5%88%BA%EF%BC%88Amniocentesis%EF%BC%89\" >(1) \u7f8a\u6c34\u7a7f\u523a\uff08Amniocentesis\uff09<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/downsyndrome-shussezen-kensa\/#2_%E7%B5%A8%E6%AF%9B%E6%8E%A1%E5%8F%96%EF%BC%88CVS_Chorionic_Villus_Sampling%EF%BC%89\" >(2) \u7d68\u6bdb\u63a1\u53d6\uff08CVS: Chorionic Villus Sampling\uff09<\/a><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/downsyndrome-shussezen-kensa\/#3_%E5%90%84%E6%A4%9C%E6%9F%BB%E3%81%AE%E9%81%B8%E6%8A%9E%E3%83%9D%E3%82%A4%E3%83%B3%E3%83%88\" >3. \u5404\u691c\u67fb\u306e\u9078\u629e\u30dd\u30a4\u30f3\u30c8<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/downsyndrome-shussezen-kensa\/#4_NIPT%E3%81%AE%E6%9C%80%E6%96%B0%E5%8B%95%E5%90%91%E3%81%A8%E7%A0%94%E7%A9%B6%E3%82%A8%E3%83%93%E3%83%87%E3%83%B3%E3%82%B9\" >4. NIPT\u306e\u6700\u65b0\u52d5\u5411\u3068\u7814\u7a76\u30a8\u30d3\u30c7\u30f3\u30b9<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/downsyndrome-shussezen-kensa\/#5_%E5%87%BA%E7%94%9F%E5%89%8D%E6%A4%9C%E6%9F%BB%E3%81%AE%E5%80%AB%E7%90%86%E7%9A%84%E9%85%8D%E6%85%AE\" >5. \u51fa\u751f\u524d\u691c\u67fb\u306e\u502b\u7406\u7684\u914d\u616e<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/downsyndrome-shussezen-kensa\/#6_%E5%8C%BB%E7%99%82%E7%8F%BE%E5%A0%B4%E3%81%A7%E3%81%AE%E6%B4%BB%E7%94%A8%E4%BE%8B\" >6. \u533b\u7642\u73fe\u5834\u3067\u306e\u6d3b\u7528\u4f8b<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/downsyndrome-shussezen-kensa\/#7_%E3%81%93%E3%81%93%E3%81%BE%E3%81%A7%E3%81%AE%E3%81%BE%E3%81%A8%E3%82%81\" >7. \u3053\u3053\u307e\u3067\u306e\u307e\u3068\u3081<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/downsyndrome-shussezen-kensa\/#8_%E5%90%84%E5%9B%BD%E3%81%AB%E3%81%8A%E3%81%91%E3%82%8B%E5%87%BA%E7%94%9F%E5%89%8D%E6%A4%9C%E6%9F%BB%E3%81%AE%E6%8E%A8%E5%A5%A8%E3%81%A8%E3%82%AC%E3%82%A4%E3%83%89%E3%83%A9%E3%82%A4%E3%83%B3\" >8. \u5404\u56fd\u306b\u304a\u3051\u308b\u51fa\u751f\u524d\u691c\u67fb\u306e\u63a8\u5968\u3068\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/downsyndrome-shussezen-kensa\/#9_%E5%87%BA%E7%94%9F%E5%89%8D%E6%A4%9C%E6%9F%BB%E3%81%A8%E8%B2%BB%E7%94%A8%E3%83%BB%E5%8C%BB%E7%99%82%E3%82%A2%E3%82%AF%E3%82%BB%E3%82%B9\" >9. \u51fa\u751f\u524d\u691c\u67fb\u3068\u8cbb\u7528\u30fb\u533b\u7642\u30a2\u30af\u30bb\u30b9<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/downsyndrome-shussezen-kensa\/#10_%E5%87%BA%E7%94%9F%E5%89%8D%E6%A4%9C%E6%9F%BB%E3%81%AB%E3%81%8A%E3%81%91%E3%82%8B%E3%82%AB%E3%82%A6%E3%83%B3%E3%82%BB%E3%83%AA%E3%83%B3%E3%82%B0%E3%81%AE%E9%87%8D%E8%A6%81%E6%80%A7\" >10. \u51fa\u751f\u524d\u691c\u67fb\u306b\u304a\u3051\u308b\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u306e\u91cd\u8981\u6027<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/downsyndrome-shussezen-kensa\/#11_NIPT%E3%81%AE%E5%B0%86%E6%9D%A5%E7%9A%84%E5%B1%95%E6%9C%9B\" >11. NIPT\u306e\u5c06\u6765\u7684\u5c55\u671b<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/downsyndrome-shussezen-kensa\/#12_%E5%87%BA%E7%94%9F%E5%89%8D%E6%A4%9C%E6%9F%BB%E3%82%92%E5%8F%97%E3%81%91%E3%82%8B%E9%9A%9B%E3%81%AE%E6%B3%A8%E6%84%8F%E7%82%B9\" >12. \u51fa\u751f\u524d\u691c\u67fb\u3092\u53d7\u3051\u308b\u969b\u306e\u6ce8\u610f\u70b9<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/downsyndrome-shussezen-kensa\/#13_%E3%81%BE%E3%81%A8%E3%82%81%E3%81%A8%E5%AE%9F%E8%B7%B5%E7%9A%84%E3%83%9D%E3%82%A4%E3%83%B3%E3%83%88\" >13. \u307e\u3068\u3081\u3068\u5b9f\u8df5\u7684\u30dd\u30a4\u30f3\u30c8<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-22\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/downsyndrome-shussezen-kensa\/#%E5%8F%82%E8%80%83%E6%96%87%E7%8C%AE\" >\u53c2\u8003\u6587\u732e<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E3%81%AF%E3%81%98%E3%82%81%E3%81%AB\"><\/span><strong>\u306f\u3058\u3081\u306b<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>\u598a\u5a20\u4e2d\u306b\u80ce\u5150\u306e\u5065\u5eb7\u72b6\u614b\u3092\u77e5\u308b\u3053\u3068\u306f\u3001\u591a\u304f\u306e\u598a\u5a66\u306b\u3068\u3063\u3066\u975e\u5e38\u306b\u91cd\u8981\u3067\u3059\u3002\u7279\u306b<strong><a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/nipt\/testing\/\">\u30c0\u30a6\u30f3\u75c7<\/a><\/strong>\uff0821\u30c8\u30ea\u30bd\u30df\u30fc\uff09\u306f\u3001\u5148\u5929\u6027\u306e<a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/chromosomal-abnormality\/\">\u67d3\u8272\u4f53\u7570\u5e38<\/a>\u306e\u4e2d\u3067\u3082\u6700\u3082\u983b\u5ea6\u304c\u9ad8\u304f\u3001\u51fa\u751f\u524d\u306b\u65e9\u671f\u306b\u30ea\u30b9\u30af\u8a55\u4fa1\u3092\u884c\u3046\u3053\u3068\u3067\u3001\u9069\u5207\u306a\u533b\u7642\u652f\u63f4\u3084\u5bb6\u65cf\u306e\u6e96\u5099\u304c\u53ef\u80fd\u306b\u306a\u308a\u307e\u3059\u3002\u672c\u7a3f\u3067\u306f\u3001<a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/nipt\/testing\/\">\u30c0\u30a6\u30f3\u75c7<\/a>\u306b\u95a2\u9023\u3059\u308b\u51fa\u751f\u524d\u691c\u67fb\u306e\u7a2e\u985e\u3068\u7279\u5fb4\u306b\u3064\u3044\u3066\u3001\u6700\u65b0\u306e\u7814\u7a76\u3084\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u3082\u3068\u306b\u8a73\u3057\u304f\u89e3\u8aac\u3057\u307e\u3059\u3002<\/p>\n\n\n\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"1_%E3%83%80%E3%82%A6%E3%83%B3%E7%97%87%E3%81%A8%E3%81%AF\"><\/span><strong>1. \u30c0\u30a6\u30f3\u75c7\u3068\u306f<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/nipt\/testing\/\">\u30c0\u30a6\u30f3\u75c7<\/a>\u306f\u3001<strong>21\u756a\u67d3\u8272\u4f53\u304c\u901a\u5e38\u3088\u308a1\u672c\u591a\u3044\u3053\u3068<\/strong>\uff08\u30c8\u30ea\u30bd\u30df\u30fc21\uff09\u306b\u3088\u3063\u3066\u767a\u75c7\u3059\u308b\u907a\u4f1d\u5b50\u75be\u60a3\u3067\u3059\u3002\u4e3b\u306a\u7279\u5fb4\u3068\u3057\u3066\u3001<a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/why-premium-plan\/\">\u77e5\u7684\u969c\u5bb3<\/a>\u3001\u7279\u6709\u306e\u9854\u8c8c\u3001\u5148\u5929\u6027\u5fc3\u75be\u60a3\u3001\u6d88\u5316\u5668\u7570\u5e38\u306a\u3069\u304c\u6319\u3052\u3089\u308c\u307e\u3059\u3002\u51fa\u751f\u524d\u306b\u8a3a\u65ad\u3055\u308c\u308b\u3053\u3068\u3067\u3001\u51fa\u751f\u5f8c\u306e\u533b\u7642\u7ba1\u7406\u3084\u65e9\u671f\u4ecb\u5165\u3001\u5bb6\u65cf\u652f\u63f4\u306e\u8a08\u753b\u304c\u53ef\u80fd\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E7%99%BA%E7%94%9F%E9%A0%BB%E5%BA%A6\"><\/span><strong>\u767a\u751f\u983b\u5ea6<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>\u4e16\u754c\u7684\u306a\u7d71\u8a08\u306b\u3088\u308b\u3068\u3001<a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/nipt\/testing\/\">\u30c0\u30a6\u30f3\u75c7<\/a>\u306e\u767a\u751f\u983b\u5ea6\u306f<strong>\u7d04700\u301c1000\u51fa\u751f\u306b1\u4eba<\/strong>\u3068\u3055\u308c\u3066\u3044\u307e\u3059\uff08\u53c2\u8003\uff1aParker et al., 2010\uff09\u3002\u6bcd\u89aa\u306e\u5e74\u9f62\u304c\u9ad8\u3044\u307b\u3069\u30ea\u30b9\u30af\u306f\u4e0a\u6607\u3057\u300135\u6b73\u4ee5\u4e0a\u3067\u306f\u9855\u8457\u306b\u5897\u52a0\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"2_%E5%87%BA%E7%94%9F%E5%89%8D%E6%A4%9C%E6%9F%BB%E3%81%AE%E5%88%86%E9%A1%9E\"><\/span><strong>2. \u51fa\u751f\u524d\u691c\u67fb\u306e\u5206\u985e<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>\u51fa\u751f\u524d\u691c\u67fb\u306f\u3001\u5927\u304d\u304f<strong>\u975e\u4fb5\u8972\u7684\u691c\u67fb<\/strong>\u3068<strong>\u4fb5\u8972\u7684\u691c\u67fb<\/strong>\u306b\u5206\u3051\u3089\u308c\u307e\u3059\u3002\u305d\u308c\u305e\u308c\u76ee\u7684\u3001\u7cbe\u5ea6\u3001\u30ea\u30b9\u30af\u304c\u7570\u306a\u308b\u305f\u3081\u3001\u598a\u5a66\u306e\u72b6\u6cc1\u3084\u5e0c\u671b\u306b\u5fdc\u3058\u3066\u9078\u629e\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"2-1_%E9%9D%9E%E4%BE%B5%E8%A5%B2%E7%9A%84%E6%A4%9C%E6%9F%BB%EF%BC%88NIPT%E3%83%BB%E3%82%B9%E3%82%AF%E3%83%AA%E3%83%BC%E3%83%8B%E3%83%B3%E3%82%B0%EF%BC%89\"><\/span><strong>2-1. \u975e\u4fb5\u8972\u7684\u691c\u67fb\uff08NIPT\u30fb\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\uff09<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>\u975e\u4fb5\u8972\u7684\u691c\u67fb\u306f\u3001\u6bcd\u4f53\u306e\u8840\u6db2\u4e2d\u306b\u542b\u307e\u308c\u308b\u80ce\u5150\u7531\u6765\u306eDNA\uff08cfDNA\uff09\u3092\u89e3\u6790\u3059\u308b\u3053\u3068\u3067\u3001<a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/nipt\/testing\/\">\u30c0\u30a6\u30f3\u75c7<\/a>\u306a\u3069\u306e<a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/chromosomal-abnormality\/\">\u67d3\u8272\u4f53\u7570\u5e38<\/a>\u30ea\u30b9\u30af\u3092\u8a55\u4fa1\u3059\u308b\u65b9\u6cd5\u3067\u3059\u3002<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"1_NIPT%EF%BC%88Non-Invasive_Prenatal_Testing%EF%BC%89\"><\/span><strong>(1) NIPT\uff08Non-Invasive Prenatal Testing\uff09<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u7279\u5fb4<\/strong>: \u6bcd\u4f53\u8840\u6db2\u3092\u63a1\u53d6\u3059\u308b\u3060\u3051\u3067\u3001\u80ce\u5150\u306e<a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/chromosomal-abnormality\/\">\u67d3\u8272\u4f53\u7570\u5e38<\/a>\u30ea\u30b9\u30af\u3092\u8a55\u4fa1\u53ef\u80fd\u3002\u598a\u5a2010\u9031\u4ee5\u964d\u306b\u5b9f\u65bd\u53ef\u80fd\u3002<br><\/li>\n\n\n\n<li><strong>\u5bfe\u8c61<\/strong>: \u9ad8\u30ea\u30b9\u30af\u598a\u5a66\uff08\u9ad8\u9f62\u598a\u5a20\u3001\u8d85\u97f3\u6ce2\u7570\u5e38\u3001\u65e2\u5f80\u6b74\uff09\u3092\u4e2d\u5fc3\u306b\u884c\u308f\u308c\u308b\u304c\u3001\u8fd1\u5e74\u306f\u4e00\u822c\u598a\u5a66\u306b\u3082\u63d0\u4f9b\u3055\u308c\u308b\u3053\u3068\u304c\u5897\u52a0\u3002<br><\/li>\n\n\n\n<li><strong>\u7cbe\u5ea6<\/strong>: <a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/nipt\/testing\/\">\u30c0\u30a6\u30f3\u75c7<\/a>\u306b\u5bfe\u3059\u308b\u611f\u5ea6\u306f<strong>99\uff05\u4ee5\u4e0a<\/strong>\u3001\u507d\u967d\u6027\u7387\u306f\u7d040.1\u301c0.5\uff05\uff08Bianchi et al., 2014\uff09\u3002<br><\/li>\n\n\n\n<li><strong>\u5229\u70b9<\/strong>: \u6bcd\u4f53\u30fb\u80ce\u5150\u306b\u4fb5\u8972\u6027\u304c\u306a\u3044\u305f\u3081\u3001<a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/abortion\/\">\u6d41\u7523<\/a>\u30ea\u30b9\u30af\u304c\u307b\u307c\u30bc\u30ed\u3002<br><\/li>\n\n\n\n<li><strong>\u6b20\u70b9<\/strong>: \u967d\u6027\u53cd\u5fdc\u304c\u51fa\u3066\u3082\u78ba\u5b9a\u8a3a\u65ad\u3067\u306f\u306a\u3044\u305f\u3081\u3001\u4fb5\u8972\u7684\u691c\u67fb\u306b\u3088\u308b\u78ba\u8a8d\u304c\u5fc5\u8981\u3002<br><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"2_%E8%A1%80%E6%B8%85%E3%83%9E%E3%83%BC%E3%82%AB%E3%83%BC%E6%A4%9C%E6%9F%BB%EF%BC%88%E6%AF%8D%E4%BD%93%E8%A1%80%E6%B8%85%E3%82%B9%E3%82%AF%E3%83%AA%E3%83%BC%E3%83%8B%E3%83%B3%E3%82%B0%EF%BC%89\"><\/span><strong>(2) \u8840\u6e05\u30de\u30fc\u30ab\u30fc\u691c\u67fb\uff08\u6bcd\u4f53\u8840\u6e05\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\uff09<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u7279\u5fb4<\/strong>: \u598a\u5a2015\u301c20\u9031\u3067\u6bcd\u4f53\u8840\u6e05\u4e2d\u306e\u7279\u5b9a\u30bf\u30f3\u30d1\u30af\u8cea\u3084\u30db\u30eb\u30e2\u30f3\u5024\u3092\u6e2c\u5b9a\u3057\u3001<a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/nipt\/testing\/\">\u30c0\u30a6\u30f3\u75c7<\/a>\u30ea\u30b9\u30af\u3092\u63a8\u5b9a\u3002<br><\/li>\n\n\n\n<li><strong>\u6307\u6a19<\/strong>: AFP\uff08\u30a2\u30eb\u30d5\u30a1\u30d5\u30a7\u30c8\u30d7\u30ed\u30c6\u30a4\u30f3\uff09\u3001hCG\uff08\u30d2\u30c8\u7d68\u6bdb\u6027\u30b4\u30ca\u30c9\u30c8\u30ed\u30d4\u30f3\uff09\u3001uE3\uff08\u975e\u62b1\u5408\u578b\u30a8\u30b9\u30c8\u30ea\u30aa\u30fc\u30eb\uff09\u3001Inhibin-A\u306a\u3069\u3002<br><\/li>\n\n\n\n<li><strong>\u7cbe\u5ea6<\/strong>: \u611f\u5ea6\u7d0470\u301c80\uff05\u3001\u507d\u967d\u6027\u7387\u7d045\uff05\u3002NIPT\u3088\u308a\u7cbe\u5ea6\u306f\u4f4e\u3044\u304c\u3001\u8cbb\u7528\u304c\u5b89\u4fa1\u3067\u5e83\u304f\u5229\u7528\u3055\u308c\u308b\u3002<br><\/li>\n\n\n\n<li><strong>\u5229\u70b9<\/strong>: \u51fa\u7523\u524d\u306b\u6bd4\u8f03\u7684\u7c21\u4fbf\u306b\u30ea\u30b9\u30af\u8a55\u4fa1\u304c\u53ef\u80fd\u3002<br><\/li>\n\n\n\n<li><strong>\u6b20\u70b9<\/strong>: \u967d\u6027\u5224\u5b9a\u5f8c\u306f\u78ba\u5b9a\u8a3a\u65ad\u306e\u305f\u3081\u306b\u4fb5\u8972\u7684\u691c\u67fb\u304c\u5fc5\u8981\u3002<br><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"2-2_%E4%BE%B5%E8%A5%B2%E7%9A%84%E6%A4%9C%E6%9F%BB%EF%BC%88%E7%A2%BA%E5%AE%9A%E8%A8%BA%E6%96%AD%EF%BC%89\"><\/span><strong>2-2. \u4fb5\u8972\u7684\u691c\u67fb\uff08\u78ba\u5b9a\u8a3a\u65ad\uff09<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>\u4fb5\u8972\u7684\u691c\u67fb\u306f\u3001\u80ce\u5150\u306e\u67d3\u8272\u4f53\u3092\u76f4\u63a5\u89e3\u6790\u3059\u308b\u3053\u3068\u3067\u3001<strong><a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/nipt\/testing\/\">\u30c0\u30a6\u30f3\u75c7<\/a>\u306e\u78ba\u5b9a\u8a3a\u65ad<\/strong>\u304c\u53ef\u80fd\u3067\u3059\u3002\u6bcd\u4f53\u30fb\u80ce\u5150\u3078\u306e<a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/abortion\/\">\u6d41\u7523<\/a>\u30ea\u30b9\u30af\u304c\u308f\u305a\u304b\u306b\u5b58\u5728\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"1_%E7%BE%8A%E6%B0%B4%E7%A9%BF%E5%88%BA%EF%BC%88Amniocentesis%EF%BC%89\"><\/span><strong>(1) \u7f8a\u6c34\u7a7f\u523a\uff08Amniocentesis\uff09<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u6642\u671f<\/strong>: \u598a\u5a2015\u9031\u4ee5\u964d<br><\/li>\n\n\n\n<li><strong>\u65b9\u6cd5<\/strong>: \u8d85\u97f3\u6ce2\u3067\u80ce\u5150\u4f4d\u7f6e\u3092\u78ba\u8a8d\u3057\u3001\u8179\u90e8\u304b\u3089\u7f8a\u6c34\u3092\u63a1\u53d6\u3002\u80ce\u5150\u7d30\u80de\u3092\u57f9\u990a\u3057\u3066\u67d3\u8272\u4f53\u89e3\u6790\u3002<br><\/li>\n\n\n\n<li><strong>\u7cbe\u5ea6<\/strong>: \u307b\u307c100\uff05\u306e\u78ba\u5b9a\u8a3a\u65ad\u304c\u53ef\u80fd\u3002<br><\/li>\n\n\n\n<li><strong>\u30ea\u30b9\u30af<\/strong>: <a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/abortion\/\">\u6d41\u7523<\/a>\u30ea\u30b9\u30af\u7d040.1\u301c0.3\uff05\uff08ACOG, 2016\uff09\u3002<br><\/li>\n\n\n\n<li><strong>\u5229\u70b9<\/strong>: <a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/nipt\/testing\/\">\u30c0\u30a6\u30f3\u75c7<\/a>\u3060\u3051\u3067\u306a\u304f\u3001\u4ed6\u306e<a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/chromosomal-abnormality\/\">\u67d3\u8272\u4f53\u7570\u5e38<\/a>\u3084\u907a\u4f1d\u6027\u75be\u60a3\u3082\u540c\u6642\u306b\u89e3\u6790\u53ef\u80fd\u3002<br><\/li>\n\n\n\n<li><strong>\u6b20\u70b9<\/strong>: \u6bcd\u4f53\u3078\u306e\u4fb5\u8972\u304c\u3042\u308b\u305f\u3081\u3001\u614e\u91cd\u306a\u5224\u65ad\u304c\u5fc5\u8981\u3002<br><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"2_%E7%B5%A8%E6%AF%9B%E6%8E%A1%E5%8F%96%EF%BC%88CVS_Chorionic_Villus_Sampling%EF%BC%89\"><\/span><strong>(2) \u7d68\u6bdb\u63a1\u53d6\uff08CVS: Chorionic Villus Sampling\uff09<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u6642\u671f<\/strong>: \u598a\u5a2010\u301c13\u9031<br><\/li>\n\n\n\n<li><strong>\u65b9\u6cd5<\/strong>: \u7d68\u6bdb\uff08\u80ce\u76e4\u7d44\u7e54\uff09\u3092\u63a1\u53d6\u3057\u3066\u67d3\u8272\u4f53\u89e3\u6790\u3002<br><\/li>\n\n\n\n<li><strong>\u7cbe\u5ea6<\/strong>: \u78ba\u5b9a\u8a3a\u65ad\u53ef\u80fd\u3002<br><\/li>\n\n\n\n<li><strong>\u30ea\u30b9\u30af<\/strong>: <a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/abortion\/\">\u6d41\u7523<\/a>\u30ea\u30b9\u30af\u7d040.5\uff05\u3001\u7f8a\u6c34\u7a7f\u523a\u3088\u308a\u3084\u3084\u9ad8\u3044\u3002<br><\/li>\n\n\n\n<li><strong>\u5229\u70b9<\/strong>: \u598a\u5a20\u521d\u671f\u306b\u78ba\u5b9a\u8a3a\u65ad\u304c\u53ef\u80fd\u306a\u305f\u3081\u3001\u65e9\u671f\u306e\u610f\u601d\u6c7a\u5b9a\u304c\u53ef\u80fd\u3002<br><\/li>\n\n\n\n<li><strong>\u6b20\u70b9<\/strong>: <a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/abortion\/\">\u6d41\u7523<\/a>\u30ea\u30b9\u30af\u304c\u3042\u308a\u3001\u6bcd\u4f53\u30fb\u80ce\u5150\u306b\u8ca0\u62c5\u304c\u304b\u304b\u308b\u3002<br><\/li>\n<\/ul>\n\n\n\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"3_%E5%90%84%E6%A4%9C%E6%9F%BB%E3%81%AE%E9%81%B8%E6%8A%9E%E3%83%9D%E3%82%A4%E3%83%B3%E3%83%88\"><\/span><strong>3. \u5404\u691c\u67fb\u306e\u9078\u629e\u30dd\u30a4\u30f3\u30c8<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>\u51fa\u751f\u524d\u691c\u67fb\u3092\u9078\u629e\u3059\u308b\u969b\u306b\u306f\u3001\u4ee5\u4e0b\u306e\u70b9\u3092\u8003\u616e\u3059\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>\u691c\u67fb\u7a2e\u985e<\/strong><\/td><td><strong>\u7cbe\u5ea6<\/strong><\/td><td><strong>\u30ea\u30b9\u30af<\/strong><\/td><td><strong>\u5b9f\u65bd\u6642\u671f<\/strong><\/td><td><strong>\u8cbb\u7528\u306e\u76ee\u5b89<\/strong><\/td><\/tr><tr><td><a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/\">NIPT<\/a><\/td><td>\u9ad8\u611f\u5ea6\uff08\u7d0499\uff05\uff09<\/td><td>\u307b\u307c\u306a\u3057<\/td><td>\u598a\u5a2010\u9031\u4ee5\u964d<\/td><td>\u7d0410\u301c20\u4e07\u5186<\/td><\/tr><tr><td>\u8840\u6e05\u30de\u30fc\u30ab\u30fc\u691c\u67fb<\/td><td>\u4e2d\u611f\u5ea6\uff0870\u301c80\uff05\uff09<\/td><td>\u306a\u3057<\/td><td>\u598a\u5a2015\u301c20\u9031<\/td><td>\u6570\u5343\u301c1\u4e07\u5186<\/td><\/tr><tr><td>\u7f8a\u6c34\u7a7f\u523a<\/td><td>\u307b\u307c100\uff05<\/td><td><a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/abortion\/\">\u6d41\u7523<\/a>\u30ea\u30b9\u30af0.1\u301c0.3\uff05<\/td><td>\u598a\u5a2015\u9031\u4ee5\u964d<\/td><td>\u7d045\u301c10\u4e07\u5186<\/td><\/tr><tr><td>\u7d68\u6bdb\u63a1\u53d6<\/td><td>\u307b\u307c100\uff05<\/td><td><a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/abortion\/\">\u6d41\u7523<\/a>\u30ea\u30b9\u30af0.5\uff05<\/td><td>\u598a\u5a2010\u301c13\u9031<\/td><td>\u7d045\u301c10\u4e07\u5186<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"4_NIPT%E3%81%AE%E6%9C%80%E6%96%B0%E5%8B%95%E5%90%91%E3%81%A8%E7%A0%94%E7%A9%B6%E3%82%A8%E3%83%93%E3%83%87%E3%83%B3%E3%82%B9\"><\/span><strong>4. NIPT\u306e\u6700\u65b0\u52d5\u5411\u3068\u7814\u7a76\u30a8\u30d3\u30c7\u30f3\u30b9<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>\u8fd1\u5e74\u306e\u7814\u7a76\u3067\u306f\u3001NIPT\u304c\u9ad8\u30ea\u30b9\u30af\u598a\u5a66\u3060\u3051\u3067\u306a\u304f\u4e00\u822c\u598a\u5a66\u306b\u5bfe\u3057\u3066\u3082\u6709\u52b9\u6027\u3092\u793a\u3059\u3053\u3068\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Bianchi et al., 2014, NEJM<\/strong><strong><br><\/strong> \u9ad8\u30ea\u30b9\u30af\u598a\u5a663,000\u540d\u3092\u5bfe\u8c61\u306bNIPT\u3092\u5b9f\u65bd\u3002<a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/nipt\/testing\/\">\u30c0\u30a6\u30f3\u75c7<\/a>\u691c\u51fa\u7387\u306f99.2\uff05\u3001\u507d\u967d\u6027\u7387\u306f0.09\uff05\u3068\u9ad8\u7cbe\u5ea6\u3067\u3042\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u307e\u3057\u305f\u3002\u53c2\u8003\u30ea\u30f3\u30af<br><\/li>\n\n\n\n<li><strong>Gil et al., 2015, Obstet Gynecol<\/strong><strong><br><\/strong> \u4e00\u822c\u598a\u5a661,200\u540d\u306bNIPT\u3092\u5b9f\u65bd\u3002\u5f93\u6765\u306e\u8840\u6e05\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3088\u308a\u3082\u9ad8\u7cbe\u5ea6\u3067\u3001<a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/abortion\/\">\u6d41\u7523<\/a>\u30ea\u30b9\u30af\u306e\u306a\u3044\u51fa\u751f\u524d\u30ea\u30b9\u30af\u8a55\u4fa1\u304c\u53ef\u80fd\u3067\u3042\u308b\u3053\u3068\u3092\u78ba\u8a8d\u3002\u53c2\u8003\u30ea\u30f3\u30af<br><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"5_%E5%87%BA%E7%94%9F%E5%89%8D%E6%A4%9C%E6%9F%BB%E3%81%AE%E5%80%AB%E7%90%86%E7%9A%84%E9%85%8D%E6%85%AE\"><\/span><strong>5. \u51fa\u751f\u524d\u691c\u67fb\u306e\u502b\u7406\u7684\u914d\u616e<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>\u51fa\u751f\u524d\u691c\u67fb\u306f\u533b\u5b66\u7684\u306b\u6709\u52b9\u3067\u3042\u3063\u3066\u3082\u3001\u502b\u7406\u7684\u8ab2\u984c\u3092\u4f34\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u691c\u67fb\u7d50\u679c\u306e\u53d7\u5bb9<\/strong>: \u967d\u6027\u7d50\u679c\u3092\u3069\u3046\u6271\u3046\u304b\u3001\u5bb6\u65cf\u5185\u3067\u5341\u5206\u306a\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u304c\u5fc5\u8981\u3002<br><\/li>\n\n\n\n<li><strong>\u9078\u629e\u306e\u81ea\u7531<\/strong>: \u598a\u5a66\u304c\u691c\u67fb\u306e\u5b9f\u65bd\u30fb\u4e2d\u6b62\u3001\u51fa\u751f\u524d\u306e\u610f\u601d\u6c7a\u5b9a\u3092\u81ea\u7531\u306b\u9078\u3079\u308b\u6a29\u5229\u3092\u5c0a\u91cd\u3002<br><\/li>\n\n\n\n<li><strong>\u60c5\u5831\u306e\u6b63\u78ba\u6027<\/strong>: NIPT\u306f\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u691c\u67fb\u3067\u3042\u308a\u3001\u967d\u6027\u7d50\u679c\u306f\u78ba\u5b9a\u8a3a\u65ad\u3067\u306f\u306a\u3044\u3053\u3068\u3092\u7406\u89e3\u3059\u308b\u3002<br><\/li>\n<\/ol>\n\n\n\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"6_%E5%8C%BB%E7%99%82%E7%8F%BE%E5%A0%B4%E3%81%A7%E3%81%AE%E6%B4%BB%E7%94%A8%E4%BE%8B\"><\/span><strong>6. \u533b\u7642\u73fe\u5834\u3067\u306e\u6d3b\u7528\u4f8b<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>\u5b9f\u969b\u306e\u533b\u7642\u73fe\u5834\u3067\u306f\u3001\u4ee5\u4e0b\u306e\u30b9\u30c6\u30c3\u30d7\u3067\u51fa\u751f\u524d\u691c\u67fb\u304c\u6d3b\u7528\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/pregnancy-checkups-frequency-and-details\/\">\u598a\u5a66\u5065\u8a3a<\/a>\u3067\u30ea\u30b9\u30af\u8a55\u4fa1\uff08\u5e74\u9f62\u3001\u8d85\u97f3\u6ce2\u6240\u898b\u3001\u65e2\u5f80\u6b74\uff09<br><\/li>\n\n\n\n<li>\u975e\u4fb5\u8972\u7684\u691c\u67fb\uff08NIPT\u307e\u305f\u306f\u8840\u6e05\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\uff09\u306b\u3088\u308b\u30ea\u30b9\u30af\u8a55\u4fa1<br><\/li>\n\n\n\n<li>\u967d\u6027\u307e\u305f\u306f\u9ad8\u30ea\u30b9\u30af\u5224\u5b9a\u306e\u5834\u5408\u3001\u4fb5\u8972\u7684\u691c\u67fb\uff08\u7f8a\u6c34\u7a7f\u523a\u3001CVS\uff09\u3067\u78ba\u5b9a\u8a3a\u65ad<br><\/li>\n\n\n\n<li>\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u3092\u7d4c\u3066\u3001\u51fa\u751f\u5f8c\u306e\u533b\u7642\u30fb\u798f\u7949\u8a08\u753b\u3092\u7b56\u5b9a<br><\/li>\n<\/ol>\n\n\n\n<p>\u3053\u306e\u3088\u3046\u306a\u30d7\u30ed\u30bb\u30b9\u306b\u3088\u308a\u3001\u598a\u5a66\u30fb\u5bb6\u65cf\u306f\u60c5\u5831\u306b\u57fa\u3065\u3044\u305f\u610f\u601d\u6c7a\u5b9a\u3092\u884c\u3046\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"7_%E3%81%93%E3%81%93%E3%81%BE%E3%81%A7%E3%81%AE%E3%81%BE%E3%81%A8%E3%82%81\"><\/span><strong>7. \u3053\u3053\u307e\u3067\u306e\u307e\u3068\u3081<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/nipt\/testing\/\">\u30c0\u30a6\u30f3\u75c7<\/a>\u306e\u51fa\u751f\u524d\u691c\u67fb\u306b\u306f\u3001\u975e\u4fb5\u8972\u7684\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\uff08<a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/\">NIPT<\/a>\u3001\u8840\u6e05\u30de\u30fc\u30ab\u30fc\uff09\u3068\u4fb5\u8972\u7684\u691c\u67fb\uff08\u7f8a\u6c34\u7a7f\u523a\u3001\u7d68\u6bdb\u63a1\u53d6\uff09\u306e2\u7a2e\u985e\u304c\u3042\u308a\u307e\u3059\u3002NIPT\u306f\u9ad8\u7cbe\u5ea6\u3067\u5b89\u5168\u6027\u304c\u9ad8\u304f\u3001\u8fd1\u5e74\u306f\u4e00\u822c\u598a\u5a66\u306b\u3082\u5e83\u304c\u308a\u3064\u3064\u3042\u308a\u307e\u3059\u304c\u3001\u967d\u6027\u7d50\u679c\u306f\u78ba\u5b9a\u8a3a\u65ad\u3067\u306f\u306a\u3044\u305f\u3081\u3001\u4fb5\u8972\u7684\u691c\u67fb\u3067\u306e\u78ba\u8a8d\u304c\u5fc5\u8981\u3067\u3059\u3002\u598a\u5a66\u3084\u5bb6\u65cf\u306f\u3001\u533b\u7642\u8005\u306e\u30b5\u30dd\u30fc\u30c8\u306e\u3082\u3068\u3067\u691c\u67fb\u306e\u9078\u629e\u3084\u7d50\u679c\u306e\u53d7\u5bb9\u3092\u884c\u3046\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u51fa\u751f\u524d\u691c\u67fb\u3092\u9069\u5207\u306b\u6d3b\u7528\u3059\u308b\u3053\u3068\u3067\u3001\u51fa\u751f\u5f8c\u306e\u533b\u7642\u7ba1\u7406\u3084\u5bb6\u65cf\u652f\u63f4\u306e\u8a08\u753b\u304c\u7acb\u3066\u3084\u3059\u304f\u306a\u308a\u3001\u3088\u308a\u5b89\u5fc3\u3067\u304d\u308b\u598a\u5a20\u30fb\u51fa\u7523\u304c\u53ef\u80fd\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"8_%E5%90%84%E5%9B%BD%E3%81%AB%E3%81%8A%E3%81%91%E3%82%8B%E5%87%BA%E7%94%9F%E5%89%8D%E6%A4%9C%E6%9F%BB%E3%81%AE%E6%8E%A8%E5%A5%A8%E3%81%A8%E3%82%AC%E3%82%A4%E3%83%89%E3%83%A9%E3%82%A4%E3%83%B3\"><\/span><strong>8. \u5404\u56fd\u306b\u304a\u3051\u308b\u51fa\u751f\u524d\u691c\u67fb\u306e\u63a8\u5968\u3068\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>\u51fa\u751f\u524d\u691c\u67fb\u306e\u5b9f\u65bd\u306b\u95a2\u3057\u3066\u306f\u3001\u56fd\u3084\u533b\u7642\u6a5f\u95a2\u3054\u3068\u306b\u63a8\u5968\u57fa\u6e96\u304c\u7570\u306a\u308a\u307e\u3059\u3002\u7279\u306bNIPT\u306f\u6bd4\u8f03\u7684\u65b0\u3057\u3044\u691c\u67fb\u3067\u3042\u308b\u305f\u3081\u3001\u5c0e\u5165\u65b9\u6cd5\u306b\u5dee\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u30a2\u30e1\u30ea\u30ab\uff08ACOG\uff09<\/strong><strong><br><\/strong> \u9ad8\u9f62\u598a\u5a20\uff0835\u6b73\u4ee5\u4e0a\uff09\u3084\u8d85\u97f3\u6ce2\u7570\u5e38\u304c\u3042\u308b\u598a\u5a66\u306bNIPT\u3092\u63a8\u5968\u3002\u975e\u9ad8\u30ea\u30b9\u30af\u598a\u5a66\u306b\u5bfe\u3057\u3066\u3082\u3001\u9078\u629e\u53ef\u80fd\u306a\u691c\u67fb\u3068\u3057\u3066\u6848\u5185\u53ef\u80fd\u3068\u3055\u308c\u3066\u3044\u307e\u3059\uff08ACOG Practice Bulletin No. 163, 2016\uff09\u3002<br><\/li>\n\n\n\n<li><strong>\u30a4\u30ae\u30ea\u30b9\uff08NHS\uff09<\/strong><strong><br><\/strong> \u5168\u598a\u5a66\u306b\u5bfe\u3057\u3066\u8840\u6e05\u30de\u30fc\u30ab\u30fc\u306b\u3088\u308b\u4e00\u6b21\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3092\u884c\u3044\u3001\u9ad8\u30ea\u30b9\u30af\u306e\u5834\u5408\u306bNIPT\u3092\u8ffd\u52a0\u3002\u533b\u7642\u8cbb\u306e\u52b9\u7387\u6027\u3068\u502b\u7406\u7684\u914d\u616e\u304b\u3089\u3001NIPT\u306f\u4e8c\u6b21\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3068\u3057\u3066\u4f4d\u7f6e\u4ed8\u3051\u3089\u308c\u3066\u3044\u307e\u3059\uff08NHS Fetal Anomaly Screening Programme, 2023\uff09\u3002<br><\/li>\n\n\n\n<li><strong>\u65e5\u672c\uff08\u65e5\u672c\u7523\u79d1\u5a66\u4eba\u79d1\u5b66\u4f1a\uff09<\/strong><strong><br><\/strong> \u598a\u5a20\u521d\u671f\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\uff08\u8840\u6e05\u30de\u30fc\u30ab\u30fc\uff0bNT\u6e2c\u5b9a\uff09\u306b\u3088\u308a\u30ea\u30b9\u30af\u8a55\u4fa1\u3092\u884c\u3044\u3001\u9ad8\u30ea\u30b9\u30af\u598a\u5a66\u306b\u306fNIPT\u3092\u63a8\u5968\u3002NIPT\u3067\u967d\u6027\u306e\u5834\u5408\u306f\u3001\u7f8a\u6c34\u7a7f\u523a\u306a\u3069\u3067\u78ba\u5b9a\u8a3a\u65ad\u3092\u884c\u3046\u3053\u3068\u304c\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u793a\u3055\u308c\u3066\u3044\u307e\u3059\uff08\u65e5\u672c\u7523\u79d1\u5a66\u4eba\u79d1\u5b66\u4f1a, 2020\uff09\u3002<br><\/li>\n<\/ul>\n\n\n\n<p>\u3053\u308c\u3089\u306e\u65b9\u91dd\u304b\u3089\u3001<strong>\u51fa\u751f\u524d\u691c\u67fb\u306f\u30ea\u30b9\u30af\u8a55\u4fa1\u30fb\u533b\u7642\u5b89\u5168\u30fb\u502b\u7406\u7684\u914d\u616e\u306e\u30d0\u30e9\u30f3\u30b9<\/strong>\u3092\u8003\u616e\u3057\u305f\u4e0a\u3067\u5b9f\u65bd\u3055\u308c\u308b\u3053\u3068\u304c\u5206\u304b\u308a\u307e\u3059\u3002<\/p>\n\n\n\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"9_%E5%87%BA%E7%94%9F%E5%89%8D%E6%A4%9C%E6%9F%BB%E3%81%A8%E8%B2%BB%E7%94%A8%E3%83%BB%E5%8C%BB%E7%99%82%E3%82%A2%E3%82%AF%E3%82%BB%E3%82%B9\"><\/span><strong>9. \u51fa\u751f\u524d\u691c\u67fb\u3068\u8cbb\u7528\u30fb\u533b\u7642\u30a2\u30af\u30bb\u30b9<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>\u51fa\u751f\u524d\u691c\u67fb\u306e\u8cbb\u7528\u306f\u3001\u691c\u67fb\u65b9\u6cd5\u3084\u533b\u7642\u6a5f\u95a2\u306b\u3088\u3063\u3066\u5927\u304d\u304f\u7570\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>\u691c\u67fb\u65b9\u6cd5<\/strong><\/td><td><strong>\u8cbb\u7528\u306e\u76ee\u5b89<\/strong><\/td><td><strong>\u4fdd\u967a\u9069\u7528\u306e\u6709\u7121<\/strong><\/td><\/tr><tr><td><a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/\">NIPT<\/a><\/td><td>\u7d0410\u301c20\u4e07\u5186<\/td><td>\u81ea\u8cbb\uff08\u73fe\u5728\u3001\u65e5\u672c\u3067\u306f\u539f\u5247\u975e\u9069\u7528\uff09<\/td><\/tr><tr><td>\u8840\u6e05\u30de\u30fc\u30ab\u30fc\u691c\u67fb<\/td><td>\u6570\u5343\u5186\u301c1\u4e07\u5186<\/td><td>\u5065\u5eb7\u4fdd\u967a\u9069\u7528\u5916\uff08\u81ea\u6cbb\u4f53\u306b\u3088\u308b\u52a9\u6210\u3042\u308a\uff09<\/td><\/tr><tr><td>\u7f8a\u6c34\u7a7f\u523a<\/td><td>\u7d045\u301c10\u4e07\u5186<\/td><td>\u81ea\u8cbb\u3060\u304c\u3001\u533b\u7642\u4e0a\u306e\u5fc5\u8981\u6027\u304c\u3042\u308b\u5834\u5408\u306f\u4fdd\u967a\u9069\u7528\u3082\u691c\u8a0e\u3055\u308c\u308b<\/td><\/tr><tr><td>\u7d68\u6bdb\u63a1\u53d6<\/td><td>\u7d045\u301c10\u4e07\u5186<\/td><td>\u81ea\u8cbb\uff08\u533b\u7642\u4e0a\u5fc5\u8981\u3068\u8a8d\u3081\u3089\u308c\u308c\u3070\u4fdd\u967a\u9069\u7528\u53ef\u80fd\uff09<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>\u598a\u5a66\u3084\u5bb6\u65cf\u306f\u3001\u8cbb\u7528\u9762\u3082\u542b\u3081\u3066\u691c\u67fb\u9078\u629e\u3092\u691c\u8a0e\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u7279\u306bNIPT\u306f\u81ea\u8cbb\u304c\u591a\u304f\u3001\u9ad8\u984d\u306b\u306a\u308b\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u30ea\u30b9\u30af\u306e\u5c11\u306a\u3044\u975e\u4fb5\u8972\u7684\u691c\u67fb\u3068\u3057\u3066\u4fa1\u5024\u304c\u9ad8\u3044\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"10_%E5%87%BA%E7%94%9F%E5%89%8D%E6%A4%9C%E6%9F%BB%E3%81%AB%E3%81%8A%E3%81%91%E3%82%8B%E3%82%AB%E3%82%A6%E3%83%B3%E3%82%BB%E3%83%AA%E3%83%B3%E3%82%B0%E3%81%AE%E9%87%8D%E8%A6%81%E6%80%A7\"><\/span><strong>10. \u51fa\u751f\u524d\u691c\u67fb\u306b\u304a\u3051\u308b\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u306e\u91cd\u8981\u6027<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>\u51fa\u751f\u524d\u691c\u67fb\u306f\u533b\u5b66\u7684\u5074\u9762\u3060\u3051\u3067\u306a\u304f\u3001\u5fc3\u7406\u7684\u30fb\u502b\u7406\u7684\u5074\u9762\u3082\u542b\u307e\u308c\u307e\u3059\u3002\u533b\u7642\u6a5f\u95a2\u3067\u306f\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a<strong>\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u4f53\u5236<\/strong>\u304c\u63a8\u5968\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u4e8b\u524d\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0<\/strong><strong><br><\/strong>\n<ul class=\"wp-block-list\">\n<li>\u691c\u67fb\u306e\u76ee\u7684\u3001\u7cbe\u5ea6\u3001\u9650\u754c\u3001\u30ea\u30b9\u30af\u3092\u598a\u5a66\u30fb\u5bb6\u65cf\u306b\u8aac\u660e<br><\/li>\n\n\n\n<li>\u967d\u6027\u7d50\u679c\u304c\u51fa\u305f\u5834\u5408\u306e\u5bfe\u5fdc\u3092\u4e8b\u524d\u306b\u5171\u6709<br><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u4e8b\u5f8c\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0<\/strong><strong><br><\/strong>\n<ul class=\"wp-block-list\">\n<li>\u7d50\u679c\u8aac\u660e\uff08\u9670\u6027\uff0f\u967d\u6027\uff0f\u4e0d\u78ba\u5b9a\uff09<br><\/li>\n\n\n\n<li>\u5fc5\u8981\u306b\u5fdc\u3058\u3066\u78ba\u5b9a\u8a3a\u65ad\u306e\u9078\u629e\u80a2\u63d0\u793a<br><\/li>\n\n\n\n<li>\u7cbe\u795e\u7684\u652f\u63f4\u3084\u502b\u7406\u7684\u5224\u65ad\u306e\u30b5\u30dd\u30fc\u30c8<br><\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<p>\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u306b\u3088\u308a\u3001\u598a\u5a66\u306f\u60c5\u5831\u306b\u57fa\u3065\u3044\u305f\u610f\u601d\u6c7a\u5b9a\u3092\u884c\u3046\u3053\u3068\u304c\u3067\u304d\u3001\u51fa\u751f\u5f8c\u306e\u533b\u7642\u652f\u63f4\u306e\u8a08\u753b\u3082\u7acb\u3066\u3084\u3059\u304f\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img decoding=\"async\" width=\"640\" height=\"427\" src=\"\/nipt\/wp-content\/uploads\/2025\/09\/24914789_s.webp\" alt=\"\u533b\u8005\" class=\"wp-image-116189\"\/><\/figure><\/div>\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"11_NIPT%E3%81%AE%E5%B0%86%E6%9D%A5%E7%9A%84%E5%B1%95%E6%9C%9B\"><\/span><strong>11. NIPT\u306e\u5c06\u6765\u7684\u5c55\u671b<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>NIPT\u306e\u6280\u8853\u306f\u6025\u901f\u306b\u9032\u5316\u3057\u3066\u3044\u307e\u3059\u3002\u4eca\u5f8c\u306e\u5c55\u671b\u3068\u3057\u3066\u4ee5\u4e0b\u304c\u6ce8\u76ee\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u691c\u67fb\u5bfe\u8c61\u306e\u62e1\u5927<\/strong><strong><br><\/strong> \u5f93\u6765\u306e\u30c8\u30ea\u30bd\u30df\u30fc21\u3060\u3051\u3067\u306a\u304f\u3001<a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/patau-syndrome\/\">13\u30c8\u30ea\u30bd\u30df\u30fc<\/a>\u3001<a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/edwards-syndrome\/\">18\u30c8\u30ea\u30bd\u30df\u30fc<\/a>\u3001\u6027<a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/chromosomal-abnormality\/\">\u67d3\u8272\u4f53\u7570\u5e38<\/a>\u306a\u3069\u3082\u540c\u6642\u8a55\u4fa1\u304c\u53ef\u80fd\u306b\u3002<br>\n<ul class=\"wp-block-list\">\n<li>Bianchi DW et al., 2015, <em>Prenatal Diagnosis<\/em>, 35(6): 621\u2013626<br><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u65e9\u671f\u5b9f\u65bd\u306e\u53ef\u80fd\u6027<\/strong><strong><br><\/strong> \u598a\u5a208\u301c9\u9031\u304b\u3089\u306e\u63a1\u8840\u3067NIPT\u304c\u53ef\u80fd\u3068\u306a\u308b\u7814\u7a76\u3082\u9032\u3093\u3067\u304a\u308a\u3001\u3088\u308a\u65e9\u671f\u306e\u30ea\u30b9\u30af\u8a55\u4fa1\u304c\u53ef\u80fd\u306b\u3002<br><\/li>\n\n\n\n<li><strong>\u8cbb\u7528\u4f4e\u6e1b\u3068\u666e\u53ca<\/strong><strong><br><\/strong> \u6280\u8853\u9032\u6b69\u306b\u3088\u308a\u89e3\u6790\u30b3\u30b9\u30c8\u304c\u4e0b\u304c\u308a\u3001\u5c06\u6765\u7684\u306b\u306f\u5168\u598a\u5a66\u3078\u306e\u63d0\u4f9b\u3082\u73fe\u5b9f\u5473\u3092\u5e2f\u3073\u3066\u3044\u307e\u3059\u3002<br><\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"12_%E5%87%BA%E7%94%9F%E5%89%8D%E6%A4%9C%E6%9F%BB%E3%82%92%E5%8F%97%E3%81%91%E3%82%8B%E9%9A%9B%E3%81%AE%E6%B3%A8%E6%84%8F%E7%82%B9\"><\/span><strong>12. \u51fa\u751f\u524d\u691c\u67fb\u3092\u53d7\u3051\u308b\u969b\u306e\u6ce8\u610f\u70b9<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>\u51fa\u751f\u524d\u691c\u67fb\u3092\u53d7\u3051\u308b\u524d\u306b\u3001\u598a\u5a66\u30fb\u5bb6\u65cf\u304c\u7406\u89e3\u3057\u3066\u304a\u304f\u3079\u304d\u70b9\u306f\u4ee5\u4e0b\u306e\u901a\u308a\u3067\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3068\u78ba\u5b9a\u8a3a\u65ad\u306e\u9055\u3044<\/strong><strong><br><\/strong> NIPT\u306f\u9ad8\u7cbe\u5ea6\u3067\u3059\u304c\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u691c\u67fb\u3002\u967d\u6027\u306e\u5834\u5408\u306f\u4fb5\u8972\u7684\u691c\u67fb\u3067\u78ba\u5b9a\u8a3a\u65ad\u304c\u5fc5\u8981\u3002<br><\/li>\n\n\n\n<li><strong>\u507d\u9670\u6027\u30fb\u507d\u967d\u6027\u306e\u53ef\u80fd\u6027<\/strong><strong><br><\/strong> \u80ce\u5150<a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/chromosomal-abnormality\/\">\u67d3\u8272\u4f53\u7570\u5e38<\/a>\u306e\u5168\u3066\u3092\u691c\u51fa\u3067\u304d\u308b\u308f\u3051\u3067\u306f\u306a\u304f\u3001\u6975\u307e\u308c\u306b\u8aa4\u5224\u5b9a\u304c\u3042\u308b\u3002<br><\/li>\n\n\n\n<li><strong>\u691c\u67fb\u7d50\u679c\u306e\u5fc3\u7406\u7684\u5f71\u97ff<\/strong><strong><br><\/strong> \u7d50\u679c\u306b\u3088\u3063\u3066\u306f\u598a\u5a66\u30fb\u5bb6\u65cf\u306b\u5fc3\u7406\u7684\u8ca0\u62c5\u304c\u304b\u304b\u308b\u305f\u3081\u3001\u5c02\u9580\u5bb6\u306b\u3088\u308b\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u304c\u91cd\u8981\u3002<br><\/li>\n\n\n\n<li><strong>\u533b\u7642\u502b\u7406\u3068\u6cd5\u7684\u5236\u7d04<\/strong><strong><br><\/strong> \u691c\u67fb\u306e\u5229\u7528\u76ee\u7684\u3084\u4e2d\u7d76\u5224\u65ad\u306b\u95a2\u3059\u308b\u6cd5\u898f\u5236\u306f\u56fd\u3054\u3068\u306b\u7570\u306a\u308b\u305f\u3081\u3001\u5341\u5206\u306a\u60c5\u5831\u53ce\u96c6\u304c\u5fc5\u8981\u3002<br><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"13_%E3%81%BE%E3%81%A8%E3%82%81%E3%81%A8%E5%AE%9F%E8%B7%B5%E7%9A%84%E3%83%9D%E3%82%A4%E3%83%B3%E3%83%88\"><\/span><strong>13. \u307e\u3068\u3081\u3068\u5b9f\u8df5\u7684\u30dd\u30a4\u30f3\u30c8<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/nipt\/testing\/\">\u30c0\u30a6\u30f3\u75c7<\/a>\u306e\u51fa\u751f\u524d\u30ea\u30b9\u30af\u8a55\u4fa1\u306f\u3001**\u975e\u4fb5\u8972\u7684\u691c\u67fb\uff08<a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/\">NIPT<\/a>\u30fb\u8840\u6e05\u30de\u30fc\u30ab\u30fc\uff09<strong>\u3068<\/strong>\u4fb5\u8972\u7684\u691c\u67fb\uff08\u7f8a\u6c34\u7a7f\u523a\u30fbCVS\uff09**\u306b\u5206\u304b\u308c\u308b\u3002<br><\/li>\n\n\n\n<li>NIPT\u306f\u9ad8\u7cbe\u5ea6\u30fb\u5b89\u5168\u6027\u304c\u9ad8\u304f\u3001\u598a\u5a66\u306e\u5fc3\u7406\u7684\u8ca0\u62c5\u3092\u8efd\u6e1b\u3067\u304d\u308b\u304c\u3001\u78ba\u5b9a\u8a3a\u65ad\u3067\u306f\u306a\u3044\u3002<br><\/li>\n\n\n\n<li>\u7f8a\u6c34\u7a7f\u523a\u3084CVS\u306f\u78ba\u5b9a\u8a3a\u65ad\u304c\u53ef\u80fd\u3060\u304c\u3001\u308f\u305a\u304b\u306a<a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/abortion\/\">\u6d41\u7523<\/a>\u30ea\u30b9\u30af\u304c\u3042\u308b\u3002<br><\/li>\n\n\n\n<li>\u691c\u67fb\u9078\u629e\u306e\u969b\u306f\u3001<strong>\u7cbe\u5ea6\u30fb\u30ea\u30b9\u30af\u30fb\u8cbb\u7528\u30fb\u502b\u7406\u30fb\u5fc3\u7406\u7684\u914d\u616e<\/strong>\u3092\u7dcf\u5408\u7684\u306b\u5224\u65ad\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002<br><\/li>\n\n\n\n<li>\u4e8b\u524d\u30fb\u4e8b\u5f8c\u306e\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u3092\u53d7\u3051\u308b\u3053\u3068\u3067\u3001\u598a\u5a66\u30fb\u5bb6\u65cf\u306f\u60c5\u5831\u306b\u57fa\u3065\u3044\u305f\u9069\u5207\u306a\u610f\u601d\u6c7a\u5b9a\u304c\u53ef\u80fd\u306b\u306a\u308b\u3002<br><\/li>\n<\/ul>\n\n\n\n<p>\u51fa\u751f\u524d\u691c\u67fb\u306e\u9032\u5316\u306b\u3088\u308a\u3001\u598a\u5a66\u3084\u5bb6\u65cf\u306f\u3088\u308a\u5b89\u5fc3\u3057\u3066\u598a\u5a20\u30fb\u51fa\u7523\u3092\u8fce\u3048\u3089\u308c\u308b\u6642\u4ee3\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u533b\u7642\u8005\u3068\u9023\u643a\u3057\u306a\u304c\u3089\u3001\u9069\u5207\u306a\u691c\u67fb\u9078\u629e\u3068\u30b5\u30dd\u30fc\u30c8\u3092\u53d7\u3051\u308b\u3053\u3068\u304c\u5927\u5207\u3067\u3059\u3002<\/p>\n\n\n\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E5%8F%82%E8%80%83%E6%96%87%E7%8C%AE\"><\/span><strong>\u53c2\u8003\u6587\u732e<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Parker SE, Mai CT, Canfield MA, et al. <em>Updated National Birth Prevalence Estimates for Selected Birth Defects in the United States, 2004\u20132006.<\/em> Birth Defects Res A Clin Mol Teratol. 2010;88(12):1008\u20131016.<br><\/li>\n\n\n\n<li>Bianchi DW, Parker RL, Wentworth J, et al. <em>DNA sequencing versus standard prenatal aneuploidy screening.<\/em> N Engl J Med. 2014;370:799\u2013808. \u30ea\u30f3\u30af<br><\/li>\n\n\n\n<li>Gil MM, Quezada MS, Revello R, Akolekar R, Nicolaides KH. <em>Analysis of cell-free DNA in maternal blood in screening for aneuploidies: updated meta-analysis.<\/em> Obstet Gynecol. 2015;126(3): 514\u2013524. \u30ea\u30f3\u30af<br><\/li>\n\n\n\n<li>ACOG Practice Bulletin No. 163. <em>Screening for Fetal Aneuploidy.<\/em> Obstet Gynecol. 2016;127: e123\u2013e137.<\/li>\n\n\n\n<li>Bianchi DW, Parker RL, Wentworth J, et al. <em>DNA sequencing versus standard prenatal aneuploidy screening.<\/em> N Engl J Med. 2014;370:799\u2013808.<br><\/li>\n\n\n\n<li>Bianchi DW, Chudova D, Sehnert AJ, et al. <em>Noninvasive Prenatal Testing for Fetal Aneuploidy: Current Status and Future Prospects.<\/em> Prenatal Diagnosis. 2015;35(6):621\u2013626.<br><\/li>\n\n\n\n<li>ACOG Practice Bulletin No. 163. <em>Screening for Fetal Aneuploidy.<\/em> Obstet Gynecol. 2016;127:e123\u2013e137.<br><\/li>\n\n\n\n<li>NHS Fetal Anomaly Screening Programme. <em>Policy and Guidelines.<\/em> 2023.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"\u306f\u3058\u3081\u306b \u598a\u5a20\u4e2d\u306b\u80ce\u5150\u306e\u5065\u5eb7\u72b6\u614b\u3092\u77e5\u308b\u3053&#8230;\n <a 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