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여성 복압성 요실금환자에서 Valsalva Leak Point Pressure와 증상정도의 상관관계

Correlation between Valsalva Leak Point Pressure and Symptom Degrees in Stress Urinary Incontinence

계명의대논문집 1999년 18권 3호 p.439 ~ 447
소속 상세정보
최봉기/Bong Kee Choi 박철희/김천일/최봉기/박철희/김천일/Choal Hee Park/Chun Il Kim/Bong Kee Choi/Choal Hee Park/Chun Il Kim

Abstract

결론
복압성요실금환자에서 증상등급이 Valsalva leak point pressure와 유의한 연관성이 있으
며 증상등급이 높을수록 Valsalva leak point pressure가 낮아지는 소견을 보였다. 그러므로
요실금의 증상등급은 Valsalva leak point pressure가 낮게 나타나는 내요도 괄약근 기능이
상을 예측하는 데 도움이 될 것으로 생각된다.
#초록#
Purpose : The Valsalva leak point pressure testing is a valuable tool in the diagnosis
of female stress urinary incontinence, especially intrinsic sphincter deficiency. The
purpose of this study is to correlate clinical parameters of stress urinary incontinence
with Valsalva leak point pressure which represents intrinsic sphincter activity.
Materials and Methods : We examined sixty consecutive women with stress urinary
incontinence including symptom grade(SEAPI-QMN classification), Q-tip test, 1hour pad
test and Valsalva leak point pressure. The clinical parameters of stress urinary
incontinence were compared each other and the correlation coefficients were analyzed
between them.
Results : The mean patient age was 50 years(range 27 to 75 years). Their symptom
grade was grade 1 in 17 patients (28.3%),2 in 30 (50%) and 3 in 13 (22.7%). According
to Blaivas and Olsson classification, they were type Ⅰ in 10 patients (16.7%), Ⅱ in 43
(71.7%) and Ⅲ in 7 (12.6%). The patients who have Valsalva leak point pressure of
greater than 60㎝. water and the urethral hypermobility were grade 1 in 17 patients
(100%) and 14 patients (82.4%), 2 in 28 (93.3%) and 26 (86.7%), 3 in 4 (30.8%) and 7
(53.8%). There was a statistically significant difference between the number of patients
with Valsalva leak point pressure of greater than 60㎝. water and 60㎝. water or less
among the 3 symptom grades (p<0.01). The Valsalva leak point pressure in patients
with urethral hypermobility was significantly higher than in those without urethral
hypermobility (p<0.05). The Valsalva leak point pressure was highly correlated with the
symptom grades clinical parameters of stress urinary incontinence.
Conclusion : Woman with higher symptom grades of stress urinary incontinence were
significantly more likely to have a low Valsalva leak point pressure which indicate
intrinsic deficiency.

키워드

stress urinary incontinence; valsalva leak point pressure; symptom degree;

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