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目的:探讨强直性肌营养不良(DM)患者及家系成员三核苷酸重复数CTG(胞嘧啶、胸腺嘧啶、鸟嘌呤)的变化与EMG、NCV的关系。方法:用聚合酶链反应(PCR)扩增及DNA杂交法对5例临床诊断DM患者及三个家系的16名成员进行DM基因的CTG重复数和EMG、NCV测定。结果:10名正常人CTG重复数是30个,EMG、NCV正常,5例DM病人CTG重复数均在85个以上,其中2例在1605个以上,明显高于正常,16名家系成员中除4名正常,余12例CTG重复数均超过正常基因,而且,CTG重复数与临床症状、EMG、NCV轻重有关。结论:DM基因诊断与其临床诊断、EMG、NCV改变相一致
Objective: To investigate the relationship between CTG (cytosine, thymine, guanine) and EMG and NCV in patients with myotonic dystrophy (DM) and their family members. Methods: The CTG repeats, EMG and NCV of DM gene were determined in 5 clinically diagnosed DM patients and 16 members of 3 pedigrees by polymerase chain reaction (PCR) amplification and DNA hybridization. Results: The CTG repeats of 30 normal subjects were 30, and EMG and NCV were normal. The CTG repeats of 5 DM patients were more than 85, of which 2 were more than 1,605, significantly higher than normal and 16 of 16 family members 4 normal, more than 12 cases of CTG repeat number than the normal gene, and CTG repeat number and clinical symptoms, EMG, NCV severity related. Conclusion: DM gene diagnosis is consistent with clinical diagnosis, EMG and NCV