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태아 흉부기형의 산전진단에서 태아심축(Cardiac a xis)측정의 임상적 의의

Other Titles
 Clinical Significance of Fetal Cardiac Axis in Screening of Fetal Cardiac and Extracardiac Intrathoracic Anomaly 
Authors
 김경수  ;  박용원  ;  조재성  ;  김태윤  ;  최형민  ;  임영구  ;  김재욱 
Citation
 Korean Journal of Obstetrics and Gynecology (대한산부인과학회잡지), Vol.40(1) : 85-91, 1997 
Journal Title
 Korean Journal of Obstetrics and Gynecology (대한산부인과학회잡지) 
ISSN
 0494-4755 
Issue Date
1997
Abstract
Objectives: The objective of this study is to investigate a possible role for fetal cardiac axis in prenatal screening of congenital cardiac or extracardiac intrathoracic anomaly. Introduction: The incidence of the congenital heart disease is reported to be 8 per 1000 live births. The congenital heart disease is the most common major anomaly in newborn, and significantly affects perinatal morbidity and mortality. Because about 90% of congenital heart disease occurs in fetus without risk factors, it is important to screen congenital heart disease in low risk patients for the congenital heart disease. Method: 48 cases of cardiac(38 cases) and extracardiac intrathoracic(10 cases) anomaly and 205 cases for control were evaluated for measurement of cardiac axis and analyzed by Student`s t-test and correlation analysis with SPSS/PC+ packages. Results: The mean cardiac axis of control group was 39.4。 (SD: 9.2。, range: 20。 ~ 65。), and in the lesion group it was 42.1。 (SD: 28.9。, range: -34。 ~ 127。). If we use mean cardiac axis±2SD of normal fetuses as a range of normal cardiac axis(21。 ~ 58。), 16/48(33.3%) of the congeital heart disease or extracardiac intrathoracic anomaly will be detected and specificity, positive predictive value, negative predictive value of the fetal cardiac axis in screening cardiac or intrathoracic anomaly will be 96.6%, 69.6%, 86.1%, respectively. Conclusion: The fetal cardiac axis may be a useful parameter in screening fetal cardiac or extracardiac intrathoracic anomaly, and could be used clinically as a parameter for evaluation of the four-chamber view of the heart.
Full Text
http://kiss.kstudy.com/thesis/thesis-view.asp?key=1856211
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
Yonsei Authors
Park, Yong Won(박용원)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/177649
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