지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.10
- 수록면
- 291 - 297 (7page)
- DOI
- 10.3393/ac.2020.01095.0156
이용수
초록· 키워드
오류제보하기
Purpose: The purpose of this study was to determine whether levator ani deficiency (LAD) scores and minimal levator hiatus (MLH) areas affect Pelvic Organ Prolapse Quantification (POP-Q) stage.Methods: This study was a retrospective chart review of patients with pelvic organ prolapse (POP) at Seoul Songdo Hospital between August 2019 and August 2020. Three-dimensional (3D) pelvic floor ultrasound, preoperative anal manometry, and other physiological tests were performed in 78 patients with POP symptoms. We divided the patients into mild prolapse and severe prolapse groups based on the POP-Q. We examined the LAD and MLH areas. LAD scores were categorized as mild, moderate, or severe.Results: There were 32 patients (41.0%) in the mild prolapse group (POP-Q stage I and II) and 46 (59.0%) in the severe prolapse group (POP-Q stage III and IV). The mean LAD score was significantly higher in severe prolapse group (13.33±2.49 vs. 8.19±2.92, P<0.001), and the rate of severe deficiency was also significantly higher in the severe prolapse group (29 [63.0%] vs. 2 [6.3%], P<0.001). The mean MLH was also significantly larger in the severe prolapse group (17.91±2.74 cm2 vs. 14.95±2.60 cm2, P<0.001). In addition, both MLH and LAD scores tended to increase at each stage.Conclusion: There is a strong positive correlation between the POP-Q stage and the MLH and LAD scores that can be seen on 3D pelvic floor ultrasound. The findings of this study, by objectively demonstrating LAD and MLH in women with POP, are an important contribution to POP.
목차
등록된 정보가 없습니다.
참고문헌 (37)
참고문헌 신청
Vergeldt TF / 2015 / Risk factors for pelvic organ prolapse and its recurrence: a systematic review / Int Urogynecol J 26:1559~1573
Wu JM / 2014 / Lifetime risk of stress urinary incontinence or pelvic organ prolapse surgery / Obstet Gynecol 123:1201~1206
Hallock JL / 2016 / The epidemiology of pelvic floor disorders and childbirth: an update / Obstet Gynecol Clin North Am 43:1~13
Handa VL / 2011 / Pelvic floor disorders 5-10 years after vaginal or cesarean childbirth / Obstet Gynecol 118:777~784
Dietz HP / 2005 / Levator trauma after vaginal delivery / Obstet Gynecol 106:707~712
Wu JM / 2014 / Lifetime risk of stress urinary incontinence or pelvic organ prolapse surgery / Obstet Gynecol 123:1201~1206
Hallock JL / 2016 / The epidemiology of pelvic floor disorders and childbirth: an update / Obstet Gynecol Clin North Am 43:1~13
Handa VL / 2011 / Pelvic floor disorders 5-10 years after vaginal or cesarean childbirth / Obstet Gynecol 118:777~784
Dietz HP / 2005 / Levator trauma after vaginal delivery / Obstet Gynecol 106:707~712
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