회음부 손상에 의한 변실금 환자에서 해부학적 복원 수술의 결과및 수술 전 예측인자

박덕훈; 윤서구; 이종호; 윤종섭; 류재현; 이종균; 김광연

추천

검색

자료유형: 학술저널

저자정보: 박덕훈 (송도외과) 윤서구 (송도외과) 이종호 (송도외과) 윤종섭 (송도외과) 류재현 (송도외과) 이종균 (송도외과) 김광연 (송도외과)

저널정보: 대한대장항문학회 Annals of Coloproctology Annals of Coloproctolgy Vol.18 No.4

발행연도: 2002.1

수록면: 222 - 228 (7page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

이 논문의 연구 히스토리 (2)

2002

회음부 손상에 의한 변실금 환자에서 해부학적 복원 수술의 결과및 수술 전 예측인자

박덕훈 , 윤서구 , 이종호 외 4명 Annals of Coloproctology 2002.01 학술저널

2001

회음부 손상에 의한 변실금 환자에서 완전 복원 수술의 결과 및 만족도에 미치는 수술전 인자

박덕훈 , 윤서구 , 윤종섭 외 2명 대한외과학회 학술대회 초록집 2001.11 학술대회자료

이 논문의 후속연구가 궁금하신가요?
연관 학술논문 또는 학술발표를 통해 보다 발전된 연구결과를 확인하실 수 있습니다.
이 논문의 연구 히스토리 확인하기

초록· 키워드

오류제보하기

Purpose: To assess the outcome of complete anatomical repair (sphincteroplasty, rectal wall plication, rectovaginal septum plication, perineal body repair, levatoroplasty) and to identify the preoperative factors influencing the outcome for the perineal obstetric injury. M ethods: Eighteen, consecutive female patients who had undergone complete anatomical repair with chronic fecal incontinence due to perineal injury during 13 months were evaluated. Mean age was 48.9±10.1 years, mean duration of symptom was 18.9 (range: 1∼33) years, mean delivery numbers were 2.8±1.2 times, and mean follow up was 11.9±4.7 months. The predictive factors were age, manometry, PNTML (pudendal nerve terminal motor latency), rectal sensation, RAIR (rectoanal inhibitory reflex), duration of symptom, angle of sphincter defect, vaginal delivery numbers, hospital stay, follow-up period, wound healing period, and Wexner’s incontinence score. Results: The anatomical success rate via endoanal ultrasonography was 100%, complication rate was 5.5%, and functional success rate (Wexners’ score≤5) was 88.9%. The patients showed lower maximal resting pressure, maximal squeezing pressure, maximal voluntary contraction, mean resting pressure, mean squeezing pressure, and maximal tolerable volume than the normal control group (P＜0.05). The median incontinence score was significantly decreased after surgery (pre op=12.2 vs post op=2.9) (P ＜0.05). Among the preoperative predictive factors, the incontinence score correlated significantly with postoperative functional success (r=0.552, P=0.017). C onclusions: Complete anatomical repair showed an excellent anatomical result and a good functional outcome. Patient with high preoperative incontinence score had a tendency for postoperative residual incontinence.

#Fecal incontinence #Obstetric injury #Anatomical repair

참고문헌 (0)

참고문헌 신청

참고문헌이 DBpia에서 서비스 중이라면, [참고문헌 신청]을 통해 등록해보세요