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http://140.128.103.80:8080/handle/310901/21455
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| Title: | Evaluation of stress urinary incontinence by computer-aided vector-based perineal ultrasound |
| Authors: | Chen, H.-Y.ad , Huang, Y.-L.b, Hung, Y.-C.a, Chen, W.-C. |
| Contributors: | Department of Computer Science, Tunghai University |
| Keywords: | Bladder neck movement;Computer-aided vector-based perineal ultrasound;Urodynamic stress incontinence;Urodynamic study |
| Date: | 2006 |
| Issue Date: | 2013-05-14T09:06:40Z (UTC)
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| Abstract: | Background. In this study, we compared the differences in dynamic changes of the bladder neck between women with and without urodynamic stress incontinence by computer-aided vector-based perineal ultrasound. Methods. The function and morphology of the lower urinary tract were assessed in 48 women with or without urodynamic stress incontinence by urodynamic study and computer-aided vector-based perineal ultrasound. Results. Patients in the urodynamic stress incontinence group had a significantly higher parity and higher prevalence of funneling of the bladder neck than participants in the control group (p < 0.05). After adjusting for parity, women with a corrected bladder neck movement ? 10 mm were 9.0 times more at risk of having urodynamic stress incontinence than women with a corrected bladder neck movement <10 mm (p < 0.05). If we used corrected bladder neck movement ? 10 mm as the cut-off point for diagnosis of urodynamic stress incontinence, the sensitivity, specificity, positive predictive value, negative predictive value, and accuracy were 77.8%, 66.7%, 87.5%, 50%, and 75%, respectively. Conclusions. The increase in corrected bladder neck movement is associated with functional impairment of urethral closure. Computer-aided vector-based perineal ultrasound is valuable in assessing anatomic change of the bladder neck, but it is not a sensitive tool for predicting urodynamic stress incontinence. ? 2006 Taylor & Francis. |
| Relation: | Acta Obstetricia et Gynecologica Scandinavica
Volume 85, Issue 10, 1 October 2006, Pages 1259-1264 |
| Appears in Collections: | [資訊工程學系所] 期刊論文
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