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논문 기본 정보

자료유형
학술저널
저자정보
김병수 (부산대학교 의과대학 방사선과학교실)
저널정보
대한영상의학회 대한방사선의학회지 대한방사선의학회지 제14권 제1호
발행연도
1978.1
수록면
35 - 44 (10page)

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Author studied the pelvicephalometric films and the clinical charts for the features and characteristics of the maternal pelvis and fetus in 148 cases of the Korean pregnant women who had a normal delivery, and who visited at Busan National University, Busan Maryknoll and Busan Saint Benedict Hospitals during about 7 years from September 1970 to June 1977. This study meant to analyse the standard characteristics of the pelvic architectures of Korean women with a normal delivery and to evaluate the relationship of the pelvic architectures and the fetal head. The results obtained were summarized as follows. (I) Features of maternal pelvis. 1) The mean value of the ages was 26.7 years, 58.1% in 25 years to 29 years of age was most frequent. 2) The mean value of the gestational time was 40.7 weeks, and 55.4% in the postmaturity, 28.4% in the normal gestation, and 16.2% in the prematurity. 3) The mean value of the time of labour pain was 24 hours, 11 minutes, and 65% in the 24 hou s or less (normal), and 35% in the prolonged labour pain. 4) The morphological classification of the pelvic inlet was 44.6% in the Gynecoid, 32.4% in the Android, 23.0% in the Anthropoid and Zero % in the Platypelloid etc. in order of frequency. 5) The pelvic type classified in according to pelvic index showed 73.0% in index one plus, 18.9% in index one, and 8.1% in index one minus. 6) All of the cases showed convergency in the pelvic side wall and the distribution of the angle was 70.3% in the moderate, 14.9% in the slight and in the marked respectively. 7) The distribution of sacrosciatic notch showed 70.3% in the average group (31 to 45 degree), 27.0% in the wide group (46 degree or over), and 2.7% in the narrow group (30 degree or less). 8) The mean value of pelvic height was 9.27$\pm$0.60%cm. 9) Features of sacrum: (1) The direction of sacrum was 64.8% in the convergency, 20.2% in the parallel, and 15.0% in the divergency, etc. (2) The number of sacral segments showed 78.4% in the ormal 5 segments and 21.6% in the abnormal 6 segments. (3) The mean value of curvature index of sacrum was 15.80$\pm$3.93cm and 47.2% in 16 or over group, 27.8% in 14 or less (flat sacrum) and 25.0% in 14 to 16 group (normal). 10) The prominence of ischial spine showed 41.9% in average, 39.1% in small, and 4.0% in sharp, etc. 11) The coccyx showed 52.7% in anterior curved feature, 39.2% in normal, 8.1% in angulated feature anteriorly. 12) The pelvic rami showed 58.1% in curved type, and 41.9% in straight type. 13) Pelvimetric values: (1) Mengert's indices. I) Capacity index of Pelvic inlet: M$\pm$$\rho$=100.16$\pm$9.15% ii) Capacity index of Mid pelvis: M$\pm$$\rho$=91.46$\pm$10.51% (2) Gurrier's measurement (TR. diameter+Post. Seg. D. of Mid pelvis); M$\pm$$\rho$=14.11$\pm$0.95cm (3) Thoms measurement (A-P.D.+TR. D of Outlet) : M$\pm$$\rho$=16.56$\pm$1.36mc (4) Allen measurement (A-P.D$\times$TR. D$\times$2/4) : I) Capacity value of pelvic inlet: M$\pm$$\rho$=114.0$\pm$10.41 Sq. cm. ii) Capacity value of Mid. pelvid: M$\pm$$\rho$=90.06$\pm$10.57 Sq. cm. (II) Features of fetus. 1) Engagement \ulcorner moulding of fetus: Engagement showed in 67.1% (94 cases of 140 patients), and moulding in 80.8% of these. 2) Average skull diameter: M$\pm$$\rho$=0.45cm. (III) Relationship between pelvic diameter and fetal head size. 1) Difference of obstetrical diameter and average skull diameter (O.D. -ASD): M$\pm$$\rho$=0.95$\pm$0.95cm. 2) Caldwell-Moloy measurement (Bi-ischial spine diameter-Biparietal diameter): M$\pm$$\rho$=0.70$\pm$0.72cm.

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