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      • KCI등재SCOPUS

        만삭 임신에서 자궁하절부 두께의 임상적 의의

        이은실 ( Eun Sil Lee ),김광준 ( Gwang Jun Kim ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.6

        Objective: The aim of this study was to evaluate the role of Lower uterine segment thickness in predicting an actual delivery date and to determine the factors affecting the depth of Lower uterine segment. Methods: Sixty patients with singleton gestation were weekly measured for their Lower uterine segment (LUS), cervical Length, cervical gland thickness and AFI by ultrasonography from 36 weeks. The regression analysis was carried to find out the relevance between LUS and the remaining days to birth and Pearson correlation analysis was performed for relevance between LUS and other factors such as maternal age, parity, cervical Length, cervical gland thickness, and AFI. Results: LUS became thin as cervical Length decreasing. However, the relevance between LUS and other factors such as age, parity, cervical gland thickness, and AFI was not found. While individual LUS thickness is decreasing as delivery date becomes closer, LUS thickness as a group is found not to be related with the delivery date. Conclusion: In term pregnancy, LUS thickness decreases with cervical change but it cannot predict the delivery date.

      • KCI등재SCOPUS

        만삭 단태임신의 분만일 예측과 관련된 초음파 인자

        김광준 ( Gwang Jun Kim ),이은실 ( Eun Sil Lee ),이우석 ( Woo Seok Lee ),이상훈 ( Sang Hoon Lee ),장영진 ( Young Jin Jang ),김동호 ( Dong Ho Kim ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.7

        Objective: The aim of this study was to find out the relating factors with the actual delivery day in term singleton pregnancy. Methods: The 52 patients with singleton gestation were visited weekly and measured for their lower uterine segment (LUS) thickness, cervical length and cervical gland thickness by transvaginal ultrasonography and for amnionic fluid index (AFI) by transabdominal ultrasonography from 36 weeks of gestation until birth. Regression analysis was used to find out the relevance between these factors and remaining days to birth. Resullts: There was a significant relationship between cervical length and remaining days to birth in term pregnancy, which could be described as a mathematical equation (remaining days for delivery=6.12+0.24×cervical length (㎜) r=0.29, p<0.01). However, no relationship was found between factors such as LUS, AFI, and cervical gland thickness and remaining days to birth. Conclusion: Our results suggest that the actual delivery day in term singleton pregnancy might be predicted with cervical length.

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