대한소아치과학회지 (Journal of the korean academy of Pediatric Dentistry)

  • 제46권1호
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  • Pages.48-56
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  • 2019
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  • 1226-8496(pISSN)
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  • 2288-3819(eISSN)
대한소아치과학회 (Korean Academy of Pediatric Dentistry)
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중지 중절골과 경추를 이용한 골령 평가의 체질량 지수에 따른 일치도

Measuring Agreement of Modified MP3 and CVMS according to BMI Percentile

  • 이석순 (전북대학교 치의학전문대학원 소아치과학교실 및 구강생체과학연구소) ;
  • 이대우 (전북대학교 치의학전문대학원 소아치과학교실 및 구강생체과학연구소) ;
  • 양연미 (전북대학교 치의학전문대학원 소아치과학교실 및 구강생체과학연구소) ;
  • 김재곤 (전북대학교 치의학전문대학원 소아치과학교실 및 구강생체과학연구소)
  • Yi, Seoksoon (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University) ;
  • Lee, Daewoo (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University) ;
  • Yang, Yeonmi (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University) ;
  • Kim, Jaegon (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University)
  • 투고 : 2018.07.30
  • 심사 : 2018.08.27
  • 발행 : 2019.02.28
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초록

이 연구의 목적은 골격 성숙도를 평가하기 위해 3번째 손가락의 중간 지골을 이용하는 방법과 경추를 이용하는 방법 사이의 체질량 지수 백분위 수에 따른 일치도를 조사하는 것이다. 후향의 차트 분석을 통하여 체질량 지수 자료, 수완부 방사선 사진, 측방 두부 방사선 사진이 같은 날에 채득된 경우를 조사 대상으로 하였다. 조사 대상은 체질량 지수 백분위 수에 따라 4개 군으로 나뉘었다. 2가지 방법 사이의 체질량 지수 백분위 수 군에 따른 일치도는 가중치 카파 통계량을 계산하여 측정되었다. 전체 군에 대해 2가지 방법 간에 좋은 일치도를 보였지만 성별 및 체질량 지수 백분위 수 군에 따라서 일치도가 달랐다. 남자는 과체중 군에서 가장 큰 일치도를 보였으나 여자의 경우 저체중에서 비만으로 감에 따라 일치도가 더 증가하는 경향을 보였다. 어린이와 청소년의 성장을 평가할 때 성별과 체중 상태가 골령을 분석하는 2가지 방법의 일치도에 영향을 줄 수 있기 때문에 소아치과 의사는 이를 고려해야 한다.

The objective of this study was to examine measuring agreement between middle phalanx of the third finger and cervical vertebrae analysis for assessing skeletal maturity according to body mass index percentile. A retrospective chart view was used to select patients with body mass index data, hand - wrist radiographs and lateral cephalograms of same day. The patients were divided into 4 groups by body mass index percentile. The hand - wrist radiographs were analyzed using modified middle phalanx of the third finger method and the lateral cephalograms were categorized according to cervical vertebral maturation stage. The degree of agreement between the 2 methods of analyzing skeletal maturation was measured by calculating weighted kappa statistic according to body mass index percentile group. There was a good agreement between the 2 methods in the entire body mass index percentile group. According to the body mass index percentile group, the agreement was found to be different, and the pattern was different between boys and girls. Pediatric dentist should consider sex and weight status when evaluating growing children and adolescents because it can affect the agreement of 2 method of analyzing skeletal maturation.

키워드

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