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Skeletal Age Assessment of SMI and MP3 Stages to Predict the Pubertal Growth Spurt

사춘기 최대 성장 단계 예측을 위한 SMI 및 MP3 단계별 골연령 평가

  • Lee, Yeonju (Division of Pediatric Dentistry, Department of Dentistry, Ewha Womans University Mokdong Hospital) ;
  • Mah, Yonjoo (Division of Pediatric Dentistry, Department of Dentistry, Ewha Womans University Mokdong Hospital)
  • 이연주 (이화여자대학교 의과대학 목동병원 소아치과학교실) ;
  • 마연주 (이화여자대학교 의과대학 목동병원 소아치과학교실)
  • Received : 2018.10.16
  • Accepted : 2018.12.04
  • Published : 2019.08.31

Abstract

This study aimed to assess the skeletal age of skeletal maturational indicator (SMI) and middle phalanx of the middle finger (MP3) stages and to predict the SMI and MP3 stages corresponding to pubertal growth spurt in boys and girls respectively. The skeletal age was assessed from hand-wrist radiographs of 363 children (182 boys, 181 girls) aged 7 to 16 years by radiologists using the Korean standard bone age chart. Also, SMI and MP3 stages were evaluated from the radiographs. From these records, the mean skeletal age of SMI and MP3 stages was calculated. The stages including pubertal growth spurt were SMI 4 - 5, MP3 FG - G stages in boys and SMI 3 - 4, MP3 F - FG stages in girls.

본 연구의 목적은 한국 소아청소년 표준 골연령 도표를 이용하여 평가한 SMI 및 MP3 단계별 골연령을 조사하여 최대 성장기에 해당하는 단계를 알아보고, 이를 통해 성장 중인 부정교합 환자의 치료 계획 수립, 치료방법 및 시기에 중요한 영향을 미치는 성장 발육평가 자료를 제공하고자 함이다. 이대목동병원 소아청소년과에 내원한 363명의 환자의 수완부 방사선 사진에서 한국 소아 청소년의 표준 골연령 도표를 바탕으로 영상의학과 의사에 의해 판정된 골연령을 조사하였다. 동일한 방사선 사진에서 평가된 SMI 및 MP3 단계에 따른 평균 골연령을 산출하였다. 본 연구 결과 사춘기 최대 성장기가 남아에서는 SMI 4 - 5단계 및 MP3 FG - G단계, 여아에서는 SMI 3 - 4단계 및 MP3 F - FG단계에서 나타남을 확인하였다.

Keywords

References

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