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논문KCI 등재

하부요로증상 진단을 위한 요속 및 요류음 분석 시스템 구현

Implementation of Uroflow and Urophonography Analysis System for LUTS Diagnosis

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초록

The present study proposed a method of measuring uroflow and urophonography at the same time for more accurate diagnosis in case uroflow looks normal due to compensatory function hypertrophy in the expression of early obstruction. In case of early obstruction, there happens turbulent uroflow by the obstruction even if the uroflow looks normal and thus obstruction can be detected by measuring and analyzing signal caused by turbulent flow. We implemented a system that can measure both uroflow and urophonography, and evaluated its performance. In the experiment, we observed changes in uroflow and urophonography according to artificial pressure and the degree of obstruction, and confirmed that it is possible to determine the effect of compensatory function hypertrophy by analyzing urophonographyic parameter under the same uroflow. The results of our experiment show that the effect of compensatory function hypertrophy in the early-stage obstruction of lower urinary tract, which is not detectible with uroflowmetry alone, can be assessed through urophonographic analysis.

Abstract

The present study proposed a method of measuring uroflow and urophonography at the same time for more accurate diagnosis in case uroflow looks normal due to compensatory function hypertrophy in the expression of early obstruction. In case of early obstruction, there happens turbulent uroflow by the obstruction even if the uroflow looks normal and thus obstruction can be detected by measuring and analyzing signal caused by turbulent flow. We implemented a system that can measure both uroflow and urophonography, and evaluated its performance. In the experiment, we observed changes in uroflow and urophonography according to artificial pressure and the degree of obstruction, and confirmed that it is possible to determine the effect of compensatory function hypertrophy by analyzing urophonographyic parameter under the same uroflow. The results of our experiment show that the effect of compensatory function hypertrophy in the early-stage obstruction of lower urinary tract, which is not detectible with uroflowmetry alone, can be assessed through urophonographic analysis.

참고문헌 (9)

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  4. Michael J, "Inter-Observer Agreement in the estimation of Bladder Pressure Bladder Pressure Using a Penile Cuff", Neurourol Urodyn, 22, pp.296~300 (2003)
  5. Michael J., "Assessment of prostatic obstruction-A cuff may be enough", Neurourol Urodyn, 22, pp.40~44 (2003)
  6. Pel J., "Development of a non-invasive strategy to classify bladder outlet obstruction in male patients with LUTS", Neurourol Urodyn, 21, pp.117~125 (2002)
  7. Van Mastrigt R., "Towards a noninvasive urodynamic diagnosis of infravesical obstruction", BJU International, 84, pp.195~203 (1999)
  8. Kenkichi Koiso, "Urophonographic Studies of the Lower Urinary Tract:A New Approach to Urodynamics", Tohoku J Med, 151, pp.57~64 (1987)
  9. Terio H, "Acoustic method for assessment of urethral obstruction:a model study", Med.& Biol.Eng.& Computer, 29, pp.450~456 (1991)

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