복압성요실금의 정량적 평가를 위한 진단 알고리즘에 관한 연구
A Study of Diagnostic Algorithm for Quantitative Evaluation of the Stress Urinary Incontinence
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초록
골반저근은 골반기관을 지지하여 요자제를 유지하는 여성의 주요 하부조직으로 수축압력을 평가함으로써 복압성 요실금의 정도를 진단할 수 있다. 본 연구에서는 생체신호 측정 시스템을 개발하여 골반저근의 수축압력을 측정하였으며, 데이터 분석을 통하여 진단 파라메터를 추출하였다. 진단 파라메터의 통계적 분석을 수행하여 특성이 유사한 피험자를 다섯 개의 군집으로 분류하였으며, 군집으로 분류된 데이터가 중첩되지 않도록 복압성요실금 진단 알고리즘을 구현하였다. 임상시험 결과 진단 알고리즘의 정확성이 약 78.9%로 나타났으며 그 유용성이 확인되었다.
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 (14)
- McGuire EJ, "Stress urinary incontinence", Obst Gynec, 47, pp.255~264 (1976)
- Blaivas JG, "Stress incontinence: Classification and surgical approach", J Urol, 139, pp.727~731 (1988)
- 최준호, "복압성요실금 환자에서 체외자기장치료의 효과", 대한비뇨기과학회지, 44(4), pp.317~321 (2003), 대한비뇨기과학회
- Sand PK, "Pelvic floor electrical stimulation in the treatment of genuine stress incontinence: a multicenter, placebocontrolled trial", Am J Obstet Gynecol, 173, pp.72~79 (1995)
- Stamey TA, "Endoscopic suspension of the vesical neck for urinary incontinence", Surg Gynecol Obstet, 136, pp.547~556 (1973)
- Lemack GE, "Voiding dynamics in women: a comparison of pressure-flow studies between asymptomatic and incontinent women", Urology, 59, pp.42~46 (2002)
- Dupont, "Diagnosis of stress urinary incontinence", Urologic Clinics of North America, 23(3), pp.407~415 (1996)
- Bump RC, "Diagnosing intrinsic sphincter deficiency: Comparing urethral closure pressure, urethral axis, and Valsalva leak point pressures", Am J Obstet Gynecol, 177, pp.303~309 (1997)
- Nitti VW, "Correlation of Valsalva leak point pressure with subjective degree of stress urinary incontinence in women", J Urol, 155, pp.281~285 (1996)
- Dougherty C. M, "Variation in intravaginal pressure measurements", Nursing research, 40, pp.282~285 (1991)
- 김희진, "긴장성 요실금 여성의 최대 질 수축압에 대한 바이오피드백 치료와 운동프로그램의 효과 비교", 한국체육학회지, 41(1), pp.373~384 (2002), 한국체육학회
- Hanzal E, "Reliability of the urethral closure pressure profile during stress in the diagnosis of genuine stress incontinence", Br J Urol, 68, pp.69~71 (1991)
- Swift SE, "Evaluation of current urodynamic testing methods in the diagnosis of genuine stress incontinence", Obstet Gynecol, 85, pp.704~708 (1995)
- Swife SE, "A comparison of stress leak-point pressure and maximal urethral closure pressure in-patients with genuine stress incontinence", Obstet Gynecol, 85, pp.704~708 (1995)
