복압성요실금의 정량적 평가를 위한 진단 알고리즘에 관한 연구 = A Study of Diagnostic Algorithm for Quantitative Evaluation of the Stress Urinary Incontinence

다국어 초록 (Multilingual Abstract)

Pelvic floor muscle is the main subsystem that maintains urinary continence. It is possible to diagnose the degree of the stress urinary incontinence(SUI) by evaluating the contraction pressure of the pelvic floor muscle. Bio-signal measurement system was developed to measure the contraction pressure. Diagnostic parameters were drawn out by analyzing the measured data. Statistical evaluations were done to classify the all subjects with five groups each has similar characteristics. SUI diagnostic algorithm was implemented to each group separately. The accuracy of the algorithm was about 78.9% and utility was confirmed by clinical trial.

참고문헌 (Reference)

1 최준호, "복압성요실금 환자에서 체외자기장치료의 효과" 대한비뇨기과학회 44 (44): 317-321, 2003

2 김희진, "긴장성 요실금 여성의 최대 질 수축압에 대한 바이오피드백 치료와 운동프로그램의 효과 비교" 한국체육학회 41 (41): 373-384, 2002

3 Lemack GE, "Voiding dynamics in women: a comparison of pressure-flow studies between asymptomatic and incontinent women" 59 : 42-46, 2002

4 Dougherty C. M, "Variation in intravaginal pressure measurements" 40 : 282-285, 1991

5 McGuire EJ, "Stress urinary incontinence" 47 : 255-264, 1976

6 Blaivas JG, "Stress incontinence: Classification and surgical approach" 139 : 727-731, 1988

7 Hanzal E, "Reliability of the urethral closure pressure profile during stress in the diagnosis of genuine stress incontinence" 68 : 69-71, 1991

8 Sand PK, "Pelvic floor electrical stimulation in the treatment of genuine stress incontinence: a multicenter, placebocontrolled trial" 173 : 72-79, 1995

9 Swift SE, "Evaluation of current urodynamic testing methods in the diagnosis of genuine stress incontinence" 85 : 704-708, 1995

10 Stamey TA, "Endoscopic suspension of the vesical neck for urinary incontinence" 136 : 547-556, 1973

11 Dupont, "Diagnosis of stress urinary incontinence" 23 (23): 407-415, 1996

12 Bump RC, "Diagnosing intrinsic sphincter deficiency: Comparing urethral closure pressure, urethral axis, and Valsalva leak point pressures" 177 : 303-309, 1997

13 Nitti VW, "Correlation of Valsalva leak point pressure with subjective degree of stress urinary incontinence in women" 155 : 281-285, 1996

14 Swife SE, "A comparison of stress leak-point pressure and maximal urethral closure pressure in-patients with genuine stress incontinence" 85 : 704-708, 1995