긴장성 요실금 환자에서 경질 초음파 검사의 의의
Role of Transvaginal Ultrasonography in Stress Urinary Incontinence
소속 상세정보
장현석
주명수/이풍규/김성주/박만철/최낙규
KMID : 0358319950360030311
Abstract
Hypermobility of the bladder neck in response toincreased intraabdominal pressure is the anatomical cause of female stress urinary incontinence (SUI) and the degree of bladder neck movement has been used to classify SUI patients and to guide
management
decision. We performed transyaginal ultrasonography in 14 SUL patients and 20 normal female as control to assess its role on the demonstration of the anatomical features associated with SUI. We adopted three anatomical factors in the sagittal
plane
which affect the bladder neck mobility; veritcal (△Y) and horizontal (△X) distance difference between pubic symphysis and bladder neck, and rotation angle difference (△Z) composed of by pubic symphysis and bladder neck during rest and stress
states.
There were significant differences in Y and Z between the two groups. Three months after corrective surgery for SUI these two factors showed significant improvement in all patients. It could be concluded that transvaginal ultrasonography is a
safe
and
reliable method to diagnosiss and evaluate the postoperative outocme for SUI.
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