Fetal dönemde üst ve alt ekstremite arasındaki büyüme oranları

Year 2005, Volume: 12 Issue: 2, 1 - 8, 08.04.2009

Mehmet Malas Şevkinaz Doğan E.hilal Evcil Kadir Desdicioğlu S.murat Tağıl Osman Sulak Esra Çetin

Abstract

SüleymanDemirel Üniversitesi
TIP FAKÜLTESİ DERGİSİ: 2005 Haziran; 12(2)



Fetal dönemde üst ve alt ekstremite arasındaki büyüme oranları


Mehmet Ali Malas, Şevkinaz Doğan, E. Hilal Evcil, Kadir Desdicioğlu,

S. Murat Tağıl, Osman Sulak, Esra Çetin



Özet

Amaç: Çalışmanın amacı fetal dönem boyunca insan fetuslarında üst ve alt ekstremiteler arasındaki büyüme oranlarını belirlemektir. Gereç ve Yöntem: Bu çalışmada, eksternal anomalisi olmayan ve yaşları 9-40 gebelik haftası arasındaki 161 insan fetusu (83 erkek, 78 dişi) kullanılmıştır. Üst ekstremitede omuz genişliği, kol, önkol ve el uzunluğu ölçüldü. Alt ekstremitede intertrochanter mesafe, uyluk, bacak ve ayak uzunluğu ölçüldü. Bulgular: Fetal dönem ve gestasyonel yaşta alınan tüm parametreler arasında anlamlı korelasyon bulundu (p<0.001). I. ve II. trimesterde ön kolun büyüme oranı koldan, uyluk büyüme oranı bacaktan ayrıca üst ekstremite büyüme oranı da alt ekstremite büyüme oranından daha fazlaydı. Tüm bu oran artışlarında III. trimester ve full-term grupları arasında bir farklılık yoktu (p<0.05). Sonuç: Gestasyonel yaşın belirlenmesinde yararlı olan bu ölçümlerin anatomi, patolojik anatomi (fetopatoloji), adli tıp, tıbbi görüntüleme, obstetri ve pediatri gibi muhtelif tıbbi branşları ilgilendireceği düşünülmektedir



Anahtar kelimeler: Üst ekstremite, alt ekstremite, fetal dönem, gelişim





Abstract



The rate of growth between the upper and lower extremity in the fetal period.

Purpose: The aim of this study was the determination of rates of growth between the upper and lower extremity of human fetuses during the fetal period. Materials and method: In this study, 160 human fetuses (80 males, 80 females) without external anomalies and aged between 9-40 post menstrual weeks were studied. In the upper extremity, the width of shoulder, the length of arms, forearms and hands were measured. In the lower extremity, the width of the inter trochanterica, the length of thigh, cruris and foot were measured.

Results: Significant correlation was found between all parameters taken within the fetal period and gestational age (p<0.001). The rate of forearm growth was higher than the rate of arm growth, the rate of thigh growth was higher than the rate of cruris growth and in addition the rate of upper extremity growth was higher than the rate of lower extremity growth in the first and second trimesters. In all of these increasing rates, there were no differences between third trimester and full term groups (p<0.05).

Conclusions. Our opinion is that the measurements can be useful to assess gestational age concerning several branches of medicine such as anatomy, pathologic anatomy (fetopathology), forensic medicine, medical imaging, obstetrics and pediatrics.



Key words: Upper extremity, lower extremity, fetal period, development

Keywords

Üst ekstremite, alt ekstremite, fetal dönem, geliþim

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