Kim Kun Woo, Kwak Dong Wook, Ko Hyun Sun, Park Hyun Soo, Seol Hyun Joo, Hong Joon Seok, Yang Seung Woo, Hwang Han Sung, Oh Soo Young, Kim Moon Young, Kim Sa Jin
Department of Obstetrics and Gynecology, Hamchoon Women's Clinic, Seoul, Korea.
Department of Obstetrics and Gynecology, Cheil General Hospital & Women's Healthcare Center, Kwandong University College of Medicine, Seoul, Korea.
Obstet Gynecol Sci. 2014 Nov;57(6):448-56. doi: 10.5468/ogs.2014.57.6.448. Epub 2014 Nov 20.
This study aimed to survey the current clinical practice of first-trimester ultrasonography among members of the Korean Society of Ultrasound in Obstetrics and Gynecology (KSUOG) and to provide basic data for making practical recommendations about first-trimester ultrasonography scan in Korea.
This survey was conducted using a self-administered anonymous questionnaire. The first-trimester in this survey was divided into two parts: early and late first-trimester. The survey was focused on safety issue, nuchal translucency (NT) cutoff, the anatomic structures they check, and the need for practical recommendations or educational courses during the first-trimester.
During the study period, 194 KSUOG members participated into this survey. The survey on early first-trimester scan reveal that 173 (89.2%) of respondents had used pulsed-wave Doppler or color Doppler imaging to monitor fetal heart beat. For the late first-trimester scan, 145 (74.7%) of respondents was found to check for fetal anatomical assessments during their NT screening performance; however, the clinical practice patterns were considerably varied among participants. More than half of the respondents used the criterion of NT ≥3.0 mm to define increased NT. Approximately 80% of respondents stated that the screening ultrasonography of fetal structures in the first-trimester was necessary. Furthermore, 187 (96.4%) of respondents were in favor of a recommendation for first-trimester ultrasonography in Korea.
This is the first survey of the current clinical practice of first-trimester ultrasonography in Korea. Our survey findings highlight the need for the practical recommendation or educational course for first-trimester ultrasonography.
本研究旨在调查韩国妇产科超声学会（KSUOG）成员目前在孕早期超声检查方面的临床实践情况，并为制定韩国孕早期超声检查的实用建议提供基础数据。
本调查采用自行填写的匿名问卷进行。本调查中的孕早期分为两部分：孕早期早期和孕早期晚期。调查重点关注安全问题、颈项透明层（NT）截断值、他们检查的解剖结构以及孕早期实用建议或教育课程的需求。
在研究期间，194名KSUOG成员参与了本次调查。孕早期早期扫描的调查显示，173名（89.2%）受访者使用脉冲波多普勒或彩色多普勒成像监测胎儿心跳。对于孕早期晚期扫描，发现145名（74.7%）受访者在进行NT筛查时检查胎儿解剖评估；然而，参与者之间的临床实践模式差异很大。超过一半的受访者使用NT≥3.0mm的标准来定义NT增加。约80%的受访者表示孕早期胎儿结构的筛查超声检查是必要的。此外，187名（96.4%）受访者赞成在韩国对孕早期超声检查提出建议。
这是韩国首次对孕早期超声检查的当前临床实践进行的调查。我们的调查结果突出了对孕早期超声检查实用建议或教育课程的需求。
