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태아폐숙성도 측정을 위한 선별검사의 효용성

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Author(s)
김택훈정태일김종인이정호
Keimyung Author(s)
Kim, Taek HoonKim, Jong InRhee, Jeong Ho
Department
Dept. of Obstetrics & Gynecology (산부인과학)
Journal Title
대한주산의학회잡지
Issued Date
1994
Volume
5
Issue
1
Keyword
Fetal lung maturity testAFLMOD 650 nmOD 400 nmShake test
Abstract
To assess the fetal lung maturity for determining the time of delivery in high risk pregnancy, we obtained 113 samples of amniotic fluid from 105 high risk pregnancy women, and shake test, amniotic fluid absorbance at 650 nm, 400 run, and Amniostat-FLM(AFLM) were performed for the screening test of the fetal lung maturity.
We investigated the diagnostic reliability of the fetal lung maturity test in 54 cases of good fetal lung maturity at birth, delivered within 72 hours after last amniocentesis and 4 cases of respiratory distress syndrome (RDS) at birth.
The sensitivity and predictive value of mature test were 100 % in all screening test. The specificity and efficiency were 83.3 %, 84.5 % in shake test, 70.4 %, 72.4 %, in OD 400 nm, 61.1 %, 63.8 % in OD 650 nm, 70.4 % in AFLM.
The predictive value of RDS was 30.5 % in shake test, 20.0 % in OD 40 nm, 16.0 % in OD 650 nm, 20.0 % in AFLM.
If a good fetal lung maturity is assigned as any one of two was positive in all screening test, AFLM and shake test showed 89.7 % efficiency. If a good fetal lung maturity is assigned as any one of three was positive in all screening tests, and OD 400 nm or AFLM, shake test, and OD 650 nm.
Conclusively, the screening test of fetal lung maturity for determining the time of delivery in high risk pregnancy is more effective with multiple screening tests than single test. Further studies will be needed in the efficiency of other screening tests, comparison
studies with lung profile and vaginal samples.
Alternative Title
The Efficiency of the Screening Test for Assessment of Fetal Lung Maturity
Keimyung Author(s)(Kor)
김택훈
김종인
이정호
Publisher
School of Medicine
Citation
김택훈 et al. (1994). 태아폐숙성도 측정을 위한 선별검사의 효용성. 대한주산의학회잡지, 5(1), 6–14.
Type
Article
ISSN
1229-2605
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39617
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Obstetrics & Gynecology (산부인과학)
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