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다운증후군의 산전진단을 위한 다양한 선별검사의 기여율 비교 - 산전 및 신생아때 진단된 96 례 분석 -
한정열(J . Y . Han),김문영(Y. M . Kim),조준형(J . H . Cho),안현경(H . K . Ahn),류현미(H . M . Ryu),김진미(J . M . Kim),김영미(Y . M . Kim),박소연(S . Y . Park),한혜경(H . K . Han),이영호(Y . H . Lee),양재혁(J . H . Yang) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.10
Objective : The purpose of this study was comparison of the contribution rate for prenatal diagnosis of Down syndrome using various screening methods (Age: greater than or equal to 35 years old, Serum markers: Triple test, Ultrasonography: abnormal sonographic findings, nuchal translucency, nuchal fold thickness).Methods : Total 96 cases of Down syndrome, prenatally or postnatally diagnosed between Jan. 1990 and Sept. 1999, made up the study population. We got the contribution rate of various prenatal screening methods of down syndrome, and obtained the efficiency of various screening program applied for last 10 years. Results : The frequencies of Down syndrome confirmed in prenatal and postnatal were 68 (71%) and 28 (29%) in respectively. The mean age of mother of Down syndrome fetus was 33.0±5.7 years old. The frequency rate of Down syndrome was 0.4, 1.3, 0.7, 0.7, 1.6, 0.7, 1.2, 2.2, 2.0 and 2.3 a 1,000 deliveries from 1990 to 1999 (Y= 0.28+0.18 year, P=0.01). The percentage of Down syndrome diagnosed prenatally was 0 (0/2), 43 (3/7), 50 (2/4), 25 (1/4), 56 (5/9), 100 (5/5), 71 (5/7), 78 (14/18), 78 (14/18) and 89 (17/19) from 1990 to 1999 (Y= 12.9+8.9 year, P=0.000). The contribution rate of prenatal diagnosis for Down syndrome was 30.2±5.6% by age, 18.2±3.4% by triple test and 51.7±6.3% by ultrasonography, and was significantly difference among each screen methods (P=0.008). Conclusions : This study shows that our prenatal screening program is highly effective to detect Down syndrome and especially ultrasonographic findings (abnormal sono findings, Nuchal translucency, Nuchal fold thickness) may be more important than that of age or Triple test to detect the Down syndrome prenatally.
한국인 여성의 임신과 관련된 치골 결합 관절 간격의 초음파에 의한 변화치 관찰
한정열(J.Y. Han),한병희(B.H. Han),문우남(W.N. Moon) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.4
Objective : To evaluate pregnancy associated change in width of the symphysis pubis. Materials and Methods : 497 women were evaluated from Jan. 2000 to Dec. 2000. They were non-pregnant, pregnant and postpartum state without complaning of pelvis pain. Ultrasonographic measurements of the width of the symphysis pubis were performed. Results : The population study shows 29.3 year-old as the mean age., gravid 2 and parity 0.6 . They consist of non-pregnant(n=36), first trimester(n=79), second trimester(n=118), third trimester(n=94), postpartum 4 weeks(n=84) and postpartum 8 weeks(n=86) women. The width of symphyseal joint was 3.93+0.05 mm(0.8-8.8 mm) among the total population, 3.20+0.17 mm in non-pregnant, 3.76+0.14 mm in first trimester, 3.95+0.10 mm in second trimester, 4.72+0.15 mm in third trimester, 3.98+0.12 mm in postpartum 4 weeks, 3.37+0.12 mm in postpartum 8 weeks women. The difference of the symphyseal joint width is statistically significant between non-pregnant and pregnant women(P=0.00). However the width of symphyseal joint were recovered until postpartum 8 weeks. There was no statistical difference of the width between first and second trimester,however significant difference between third trimester and before(P=0.00). The equation of regression ananlysis in the width of symphyseal joint was Y=3.25+0.04 x Gestation weeks during pregnancy(P>0.05). Conclusion : The width of the symphyseal joint had increased as gestational week advanced, and recovered until postpartum 8 weeks in pregnant women not complaining of pelvic pain.
임신 제일삼분기 약물 및 진단용 방사선 노출 임신부에서 기형 발생 위험에 관한 근거중심적 상담의 효과
한정열(J . Y . Han),박소연(S . Y . Park),김영미(Y . M . Kim),김진우(J . W . Kim),정상희(S . H . Jung),정영철(Y . C . Chung),최준식(J . S . Choi),안현경(H . K . Ahn),오민정(M . J . Oh),류현미(H . M . Ryu),김문영(M . Y . Kim),궁미경(M . K 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.1
Objective : To evaluate the effectiveness of evidence-based teratogenic risk counseling by relevant medical literature concerning pregnant women exposed to medication or diagnostic radiation during the first trimester. Methods : Between January 2001 and April 2001, 67 pregnant women exposed to medication or diagnostic radiation visited our clinic for teratogenic risk counseling. We counseld the teratogenic risk of their fetus by relevant medical literature.Also, We measured the score to terminate pregnancy and the perceptive risk on their fetus with major congenital anomaly using 10cm visual analogue scale. Results : None of them were exposed to any known teratogenic drugs or radiation in any teratogenic doses. Other physicians had already recommended, to about a third of patients, pregnancy termination. Their perceptive estimation on the risk of major congenital malformation in the general population was 4.6±1.1%. The perceptive risk on their fetus with major congenital anomaly decreased from 39.5±3.1% before consultation to 10.8±1.6% thereafter (P<0.05). Also, their score on the visual analogue scale to terminate pregnancy was 6.4±2.7 before consultation and 9.1±1.6 thereafter. Their tendency to terminate pregnancy significantly decreased after consultation (P<0.05). Conclusion : Evidence-based counseling for pregnant women exposed to medication or diagnostic radiation during the first trimester may prevent unnecessary pregnancy terminations as well as reduce anxiety.
쌍태임신시 태반유형 및 제대부착형태가 성장 불일치에 미치는 영향에 관한 연구
안현경(H . K . Ahn),양광문(K . M . Yang),홍성란(S . R . Hong),류현미(H . M . Rheu),김문영(M . Y . Kim),한정열(J . R . Han),최규홍(K . H . Choi),양재혁(J . H . Yang),김은성(E . S . Kim) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.11
Object : The purpose of the study is to determine whether the type of placentation and abnormal cord insertion can affect discordant growth in twin gestation. Materials and methods : We investigated 422 sets of structually normal twin delivered at our twin clinic after 26 weeks of gestation from 1995-1997. All cases of placenta were examined for pathologic evaluation during the study periods. The type of placentation was divided into four groups: monochorionic monoamniotic placenta (n=4); monochorionic diamniotic placenta (n=62); dichorionic diamniotic fused placenta (n=163); dichorionic diamniotic separate placenta(n=193). Cord insertion was also divided into three groups: both side abnormal insertion (n=17); either side abnormal insertion (n=101); both side normal insertion (n=304). Intertwin weight discordancy was classified as mild form (15-25%) and severe form (>25%) by the degree of the discrepancy. Results : The results were as follows; 1. Of these 422 twin sets, 132 (31%) consisted of twin discordancy in weight by 15% or greater (mild form 19%, severe form 12%). 2. There are no significant difference in the frequencies of discordancy between MC twins and DC twins (31.8% vs 31.2%, p=0.97). 3. The prevalence of abnormal cord insertion was 16% and much more frequent in MC placenta than DC placenta (26.5% vs 14%, p=0.001). 4. Although mean gestational age at delivery and mean birth weight were significantly lower in either side abnormal cord insertion group than both side normal cord insertion group (35.7 vs 36.7weeks, p=0.004 : 2317 vs 2475gm, p=0.01), no difference in the frequency of discordancy was observed in these two groups (37.6% vs 29%, p=0.1). Conclusion : The type of placentation and/or abnormal cord insertion were not revealed to affect discordant growth in twin gestation.
안현경(H . K . Ahn),김은성(E . S . Kim),한정열(J . Y . Han),김문영(M . Y . Kim),류현미(H . M . Ryu),최규홍(K . H . Choi),양재혁(J . H . Yang) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.12
Objective : To review the cases of peripartum hysterectomy in women delivered at a Hospital. Methods : This is a retrospective study of all cases of emergency peripartum hysterectomy performed between August 1994 and July 1998. Results : During the study period a total of 35 emergency peripartum hysterectomy was performed. The overall incidence was 0.9/1,000 deliveries. The mean age of patients was 33.7±0.8 years old, the median gravidity was 5 and mean gestational age was 37.7±0.4 weeks. The main indications for hysterectomy were massive bleeding due to abnormal placental adhesions or uterine atony. There was no maternal death, However, maternal morbidity was 34.3%. Conclusions : The data show abnormal adherent placentation as the primary cause for gravid hysterectomy. The data illustrate how the incidence of emergency peripartum hysterectomy increases significantly with increasing parity, especially when influenced by a current placenta previa or a prior cesarean section. Maternal morbidyity remained high although no maternal deaths occurred.