출구폐쇄형 배변장애의 성별에 따른 차이점 -배변조영술 1,513예의 분석-
Difference between Genders in Patients with Obstructive Defecation -Analysis of 1,513 Defecograms-
박덕훈, 윤서구, 윤종섭, 이종호, 노희정, 문민주, 김현식, 이종균, 김광연,
소속 상세정보
박덕훈 ( Park Duk-Hoon )
송도병원 외과
윤서구 ( Yoon Seo-Gu )
송도병원 외과
윤종섭 ( Yoon Jong-Sub )
송도병원 외과
이종호 ( Lee Jong-Ho )
송도병원 외과
노희정 ( No Hee-Jung )
송도병원 진단방사선과
문민주 ( Moon Min-Joo )
송도병원 진단방사선과
김현식 ( Kim Hyun-Sik )
송도병원 외과
이종균 ( Lee Jong-Kyun )
송도병원 외과
김광연 ( Kim Kwang-Yeon )
송도병원 외과
KMID : 0356720020180020073
Abstract
Purpose: The aims of this study were to find the difference in frequency between genders and to determine the correlation between age-related disease and other diseases in obstructive defecation.
Methods: A consecutive series of 1,513 patients (343 males, 1,170 females) with obstructive defecation who undertook defecography and/or cinedefecography during 1 year period was analyzed.
Results: The causes of obstructive defecation in males showed as spastic pelvic floor syndrome (SPFS) (48.3%), rectal prolapse (RP) (31.4%), descending perineum syndrome (DPS) (25.9%), enterocele or sigmoidocele (7.6%), and rectocele (7%). However, in females, the causes were rectocele (83.8%), DPS (49.2%), RP (37.6%), SPFS (32.5 %), and
enterocele or sigmoidocele (11.2%). The SPFS was negatively correlated with enterocele or sigmoidocele, DPS, RP in both genders, but SPFS had no statistical correlation with rectocele. DPS was correlated with RP in both genders and with
enterocele or sigmoidocele in females, but no statistical correlation was seen in males. The size of the rectocele showed a slight correlation with age in females (r=0.102, P=0.01). Age was correlated with rectal prolapse in females; however, it showed a negative correlation with SPFS in females.
Conclusions: The frequency of diseases causing obstructive defecation is different between genders. Age may not play a role in aggrevating the diseases causing obstructive defecation. Further pathophysiologic study of gender differences in patients with obstructive defecation is needed.
키워드
배변조영술;출구폐쇄형 배변장애
Defecography;Obstructive defecation
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