여성의 복압성 요실금의 수술적 치료에서 Tension-freevaginal tape (TVT)과 Burch colposuspension의 비교
Comparative Study of Tension-free Vaginal Tape and Burch Colposuspensionin the Surgical Management of Female Stress Urinary Incontinence
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목적 : 여성의 순수 복압성 요실금의 수술적 치료로서 tension-free vaginal tape과 Burch colposuspension의 치료효과, 시술용이성, 합병증을 비교하고자 한다. 연구 방법 : 2000년 1월부터 2002년 12월까지 본원에서 2도 이상의 순수 복압성 요실금을 진단 받은 환자 77명 중 37명은 TVT를 시행하고, 40명은 Burch colposuspension을 시행한 후 6개월 이상 추적 관찰된 환자를 대상으로 치료효과와 합병증을 비교하였다. 결과 : Tension-free vaginal tape군에서의 치료율은 91.4%, Burch colposuspension군의 치료율은 90%로 나타났다. 평균 수술시간은 TVT군에서 23.4분, Burch colposuspension군에서 47.2분이었고, 평균 입원일수는 TVT군에서 1.8일, Burch colposuspension군에서 5.2일 이었으며, 술 후 발생한 합병증의 빈도와 중증도에는 두 군에서 차이가 없었다. 결론 : Tension-free vaginal tape은 순수 복압성 요실금의 수술적 치료로서 그 치료율은 Burch colposuspension과 비슷하고, 술 후 합병증의 빈도와 중증도에서도 큰 차이를 보이지 않았으며, Burch colposuspension에 비해 더 간단한 수술법으로 생각된다.
Abstract
Objective : The purpose of this study was to compare the effectiveness, easiness, postoperative complications between tension-free vaginal tape (TVT) and Burch colposuspension (BC) in the surgical management of female genuine stress urinary incontinence. Methods : A retrospective study of 77 cases with stress urinary incontinence at Department of Obstetrics and Gynecology and Urology, Pochon CHA University Medical College from January 2000 to December 2002, followed up more than 6 months. All of 77 cases were above grade 2 genuine stress urinary incontinence, 37 cases were performed tension-free vaginal tape, 40 cases were performed Burch colposuspension. Results : Cure rate was 91.4% in the tension-free vaginal tape (TVT) group, 90% in the Burch colposuspension group. The mean operative time for TVT was 23.4 minutes and for Burch colposuspension was 47.2 minutes. The mean hospital stay in TVT was 1.8 days and in Burch colposuspension was 5.2 days. The incidence and severity of postoperative complication is similar in both groups. Conclusion : The cure rates of TVT were comparable with Burch colposuspension in the surgical management of female genuine stress urinary incontinence. And the incidence and severity of postoperative complication is similar in both groups. Moreover TVT is simple procedure more than Burch colposuspension.
참고문헌 (6)
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