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Outcome of mid urethral sling procedures according to age
À̸¶¸®¾Æ ( Lee Maria ) - ¿¬¼¼´ëÇб³ Àǰú´ëÇÐ »êºÎÀΰúÇб³½Ç
±è¼¼±¤ ( Kim Sei-Kwang ) - ¿¬¼¼´ëÇб³ Àǰú´ëÇÐ »êºÎÀΰúÇб³½Ç
¹è»ó¿í ( Bai Sang-Wook ) - ¿¬¼¼´ëÇб³ Àǰú´ëÇÐ »êºÎÀΰúÇб³½Ç
¹®¿©Á¤ ( Moon Yeo-Jung ) - ¿¬¼¼´ëÇб³ Àǰú´ëÇÐ »êºÎÀΰúÇб³½Ç
Abstract
¸ñÀû: Áߺο䵵 ½½¸µ¼ö¼úÀ» ½ÃÇà¹ÞÀº ȯÀÚ¸¦ 70¼¼ ÀÌ»ó ±×·ì°ú 70¼¼ ¹Ì¸¸ ±×·ìÀ¸·Î ³ª´©¾î Ä¡·á¼ºÀû ¹× ÇÕº´ÁõÀ» ºñ±³Çϰí, 70¼¼ ÀÌ»ó ±×·ì¿¡¼ È¿°úÀûÀÎÁö Æò°¡ÇϰíÀÚ ÇÏ¿´´Ù.
¿¬±¸ ¹æ¹ý: 2000³â 3¿ùºÎÅÍ 2006³â 6¿ù±îÁö º»¿ø¿¡ ³»¿øÇÏ¿© º¹¾Ð¼º ¿ä½Ç±ÝÀ¸·Î Áø´Ü¹ÞÀº 381¸íÀÇ È¯ÀÚµéÀ» ´ë»óÀ¸·Î ÈÄÇâÀûÀ¸·Î ¿¬±¸¸¦ ½ÃÇàÇÏ¿´´Ù. ȯÀÚ¸¦ 70¼¼ ¹Ì¸¸ ±×·ì°ú 70¼¼ ÀÌ»ó ±×·ìÀÇ µÎ ±ºÀ¸·Î ³ª´©¾î ºñ±³ ºÐ¼®ÇÏ¿´´Ù. ¼ö¼ú 1, 3, 6 ±×¸®°í 12°³¿ù ÈÄ¿¡ ¿ÏÄ¡ ¿©ºÎ¿Í ÇÕº´ÁõÀ» ºñ±³ÇÏ¿´°í Åë°è ºÐ¼®Àº chi-square test, Fisher¡¯s exact test¿Í t-test¸¦ ÀÌ¿ëÇÏ¿´´Ù.
°á°ú: Àüü 381¸í Áß 70¼¼ ÀÌ»ó ȯÀÚ´Â 40¸í (10.5%)À̾ú´Ù. ¼ö¼ú ÀüÈÄÀÇ Ç÷»ö¼Ò Â÷ÀÌ, ¿äÁ¤Ã¼, ¿ä·Î°¨¿°, mesh ¹Ì¶õ, »óó °¨¿°ÀÇ ºñÀ²Àº µÎ ±×·ì°£¿¡ À¯ÀÇÇÑ Â÷À̰¡ ¾ø¾ú´Ù. »õ·Î ¹ß»ýÇÑ Àý¹Ú´¢´Â 70¼¼ ÀÌ»ó ±×·ì¿¡¼ ±×·¸Áö ¾ÊÀº ±×·ìº¸´Ù À¯ÀÇÇÏ°Ô ³ô¾Ò´Ù (15.9% vs. 30.0%, P<0.001). ¼ö¼ú 1³â ÈÄ ¿ÏÄ¡À²À» ºñ±³ÇÏ¿´À» ¶§ µÎ ±×·ì °£¿¡ À¯ÀÇÇÑ Â÷À̰¡ ¾ø¾ú´Ù. (82.2 % vs. 91.3%: P>0.05).
°á·Ð: 70¼¼ ÀÌ»ó ȯÀÚ¿¡¼ 70¼¼ ¹Ì¸¸ ȯÀڵ鿡 ºñÇØ Áߺο䵵 ½½¸µ¼ö¼ú ½ÃÇà ÀüÈÄ À¯ÀÇÇÑ ÇÕº´Áõ°ú ¿ÏÄ¡À²ÀÇ Â÷À̰¡ ¾ø¾ú´Ù. ¼ö¼ú ÈÄ »õ·Î ¹ß»ýÇÑ Àý¹Ú´¢´Â 70¼¼ ÀÌ»ó ±×·ì¿¡¼ ³ô¾Ò´Ù. º¹¾Ð¼º ¿ä½Ç±Ý Ä¡·á·Î¼ Áߺο䵵 ½½¸µ¼ö¼úÀº ªÀº Àç¿ø ±â°£°ú ȸº¹ ±â°£ÀÌ ¿ä±¸µÇ¸ç Àü ¿¬·É¿¡¼ ¸ðµÎ ¾ÈÀü Çϰí È¿°úÀûÀÎ ¼ö¼ú ¹æ¹ýÀÌ´Ù.
Objective: To compare the morbidity and treatment outcomes of mid urethral sling procedures for older women and younger women, and to evaluate whether mid urethral sling procedures can be effectively used in older women.
Methods: This retrospective study included 381 patients who underwent mid urethral sling procedures, tension free vaginal tape (TVT) or transobturator tape (TOT) for urodynamic stress urinary incontinence from March 2000 to June 2006. The patients were divided into two age groups: younger women (30~69 years old) and older women (70~90 years old). Patients were followed up with clinic visits at 1, 3, 6, 12 months, and every year thereafter.
Results: 341 (89.7%) were in younger women, 40 (10.5%) in older women. The rates of intra and perioperative complications including hemoglobin difference, urinary retention, UTI, mesh erosion, wound infection were no significant differences between the groups. De novo urgency was more common in older women than younger women (15.9% vs. 30.0%: P<0.001). The subjective cure rate at 1 year follow up (82.2% vs. 91.3%: P>0.05) showed no significant differences.
Conclusion: Our data showed subjective cure rates without any significant increase in intraoperative complications in older women. Postoperative complications of de novo urgency were more common in the older women. Hospital stay and recovery period were short, making TVT and TOT a suitable procedure for all ages.
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Áߺο䵵 ½½¸µ¼ö¼ú;³ªÀÌ;Ä¡·á ¼ºÀû
Tension free vaginal tape;Transobturator tape;Age;Stress urinary incontinence;Outcome
KMID :
0358420090520080850
DOI :
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