İnsan fetal kadavralarında ayak morfometrisi
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Dosyalar
Tarih
2019
Yazarlar
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Dergi ISSN
Cilt Başlığı
Yayıncı
Necmettin Erbakan Üniversitesi Sağlık Bilimleri Enstitüsü
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Ayak, vücudun yerle temas eden distal segmentidir. Dik durmada, vücut ağırlığının taşınması, yürüme-koşma gibi normal günlük aktivitelerde önemli fonksiyonel görevleri olan ayağın kemikler, kaslar, eklemler ve bağlardan oluşan oldukça özelleşmiş bir yapısı vardır. Bu çalışmada, insan fetüslerinde ayak ölçümlerinin gestasyonel yaşa ve cinsiyete göre morfometrik olarak değerlendirilmesi amaçlandı. Bu çalışma Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi Anatomi Anabilim Dalı Mikrodiseksiyon Laboratuvarı'nda yer alan 7 (%23,3)'si üçüncü ve 23 (%76,7)'ü ikinci trimester'e ait toplam 30; 19 (%63,3)'u erkek ve 11 (%36,7)'i dişi abortfetus üzerinde gerçekleştirilmiştir. Çalışmada mikrodiseksiyon aletleri, mikrodiseksiyon mikroskobu (Kaps Sam 62), 0,01 mm hassasiyete sahip kumpas (Stainless hardened) vekamera (Canon D1000) kullanıldı. Acropodian-pternion ölçümü (AP), 2., 3., 4., 5. parmak-pternion ölçümü, Metatarsal tibia-metatarsal fibula ölçümü (MT-MF) ayağın plantar yüzünden, 1.,2.,3.,4.,5. ayak parmağı uzunluğu, malleol genişiliği (MG), proximal metatarsal genişliği (PMG), distal metatarsal genişliği (DMG) dorsal yüzünden ölçümler alındı. Elde edilen veriler SPSS 21.0 programında değerlendirildi. Veriler hem tanımlayıcı (ortalama, standart sapma, maksimum ve minimum değerleri ve yüzdeleri) ve hem de istatistiki açıdan değerlendirildi. Sonuçlar %95 güven aralığı içerisinde değerlendirildi ve istatiksel olarak p değeri p<0.01 önemli olarak kabul edildi. Tüm parametreler için ortalama değerler tespit edildi. Erkek ve dişi fetusların sağ ve sol ayak ölçümleri karşılaştırıldığında parametreler arasında istatiksel olarak anlamlı bir değer bulunamamıştır. Ayrıca birçok parametre arasında korelasyon ilişkisi tespit edilmiştir. İkinci trimestr ölçümlerinde AP-1 uzunluğu ortalama 30,64±6,91 mm, üçüncü trimestr'larda ise AP-1 uzunluğu ortalama 55,57±7,31 mm olarak tespit edilmiştir. Tüm ölçümlerde trimestrlar arası fark anlamlı bulunmuştur. Fetal gelişimde fetüs ile ilgili parametrelerin normal değerlerinin gestasyonel yaşa göre elde edilmesi, her toplumun kendi populasyonu için kendi normal değerlerini belirlemesi ve fetal büyüme eğrilerinin çıkarılması önem arz etmektedir. Özellikle fetal dönemde ayak anatomisinin incelendiği çalışmalar daha kısıtlıdır. Çalışmamızdan elde edilen verilerin bu konu ile ilgili diğer çalışmalara ve fetal ayak gelişiminin incelenmesi açısından fetal ayak anatomisinin bilinmesinin çocuk cerrahlarına faydalı olacağı kanısına varılmıştır.
The foot is the distals segment of the body that touches the floor. It has a very specialized structure consisting of bones, muscles, joints and ligaments, which have important functional tasks in normal daily activities such as walking upright, moving body weight, etc. In this study, it was aimed to morphometrice valuation of foot measurements according to gestational age and gender in human fetuses. In this study, 7 (23.3%) patients in the third trimester and 23 (76.7%) in the second trimester and 19 (63.3%) were male and 11 (36.7%) were female were performed on abortion fetuses in total 30 in the Necmettin Erbakan University Meram Medical Faculty Anatomy Department. Microdissection tools, microdissection microscopy (Kaps Sam 62), caliper (Stainless hardened) with 0,01 mm precision and camera (Canon D1000) were used in the study. Acropodian-pernion measurement (AP), 2nd, 3rd, 4th, 5th finger-pternion measurements, metatarsaltibia-metatarsalfibula measurements (MT-MF), 1st, 2nd, 3rd, 4th, 5. Footfinger length, malleolwidth (MG), proximal metatarsal width (PMG), distal metatarsal width (DMG) dorsal face measurements were taken. The obtained data were evaluated in the SPSS 21.0 program. The data were evaluated both in terms of descriptive (mean, Standard deviation, maximum and minimum values and percentages) and statistical significance. The results were evaluated in 95% confidence intervaland statistically p <0.01 was considered significant. Average values for all parameters were determined. When the left and right foot measurements of male and female fetuses were compared, no statistically significant value was found between the parameters. Inaddition, correlations between many parameters have been determined. In the second trimester measurements, AP-1 length was found to be 30,64 ± 6,91 mm and AP-1 length in the third trimester was 55,57 ± 7,31 mm. The difference between trimester was found significant in all measurements. It is important that normal values of fetal parameters in fetal development are obtained according to gestational age, each community determines its normal values for its own population and fetal growth curves are extracted. Especially the studies on the anatomy of the foot in the fetal period are more limited. It has been concluded that the knowledge obtained from our study would be useful to surgeons to know fetal foot anatomy in terms of examining other studies and fetal foot developments related to this subject
The foot is the distals segment of the body that touches the floor. It has a very specialized structure consisting of bones, muscles, joints and ligaments, which have important functional tasks in normal daily activities such as walking upright, moving body weight, etc. In this study, it was aimed to morphometrice valuation of foot measurements according to gestational age and gender in human fetuses. In this study, 7 (23.3%) patients in the third trimester and 23 (76.7%) in the second trimester and 19 (63.3%) were male and 11 (36.7%) were female were performed on abortion fetuses in total 30 in the Necmettin Erbakan University Meram Medical Faculty Anatomy Department. Microdissection tools, microdissection microscopy (Kaps Sam 62), caliper (Stainless hardened) with 0,01 mm precision and camera (Canon D1000) were used in the study. Acropodian-pernion measurement (AP), 2nd, 3rd, 4th, 5th finger-pternion measurements, metatarsaltibia-metatarsalfibula measurements (MT-MF), 1st, 2nd, 3rd, 4th, 5. Footfinger length, malleolwidth (MG), proximal metatarsal width (PMG), distal metatarsal width (DMG) dorsal face measurements were taken. The obtained data were evaluated in the SPSS 21.0 program. The data were evaluated both in terms of descriptive (mean, Standard deviation, maximum and minimum values and percentages) and statistical significance. The results were evaluated in 95% confidence intervaland statistically p <0.01 was considered significant. Average values for all parameters were determined. When the left and right foot measurements of male and female fetuses were compared, no statistically significant value was found between the parameters. Inaddition, correlations between many parameters have been determined. In the second trimester measurements, AP-1 length was found to be 30,64 ± 6,91 mm and AP-1 length in the third trimester was 55,57 ± 7,31 mm. The difference between trimester was found significant in all measurements. It is important that normal values of fetal parameters in fetal development are obtained according to gestational age, each community determines its normal values for its own population and fetal growth curves are extracted. Especially the studies on the anatomy of the foot in the fetal period are more limited. It has been concluded that the knowledge obtained from our study would be useful to surgeons to know fetal foot anatomy in terms of examining other studies and fetal foot developments related to this subject
Açıklama
Yüksek Lisans Tezi
Anahtar Kelimeler
Ayak, abort fetüs, gestasyonel yaş, Foot, abortion fetuses, gestational age
Kaynak
WoS Q Değeri
Scopus Q Değeri
Cilt
Sayı
Künye
Deniz, İ. (2019). İnsan fetal kadavralarında ayak morfometrisi. (Yayınlanmamış Yüksek Lisans Tezi). Necmettin Erbakan Üniversitesi, Sağlık Bilimleri Enstitüsü Anatomi Anabilim Dalı, Konya.
