Impact of Defined Risk Factors on Degree of Urinary Stress Incontinence and Sling Outcome: A Retrospective Cohort Analysis<\/strong><\/p>\n\u5c3f\u5931\u7981\u306f\u3001\u591a\u304f\u306e\u5973\u6027\u306b\u3068\u3063\u3066\u751f\u6d3b\u306e\u8cea\u306b\u6df1\u523b\u306a\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u82e6\u3057\u3044\u72b6\u614b\u3067\u3059\u3002\u5c3f\u9053\u4e0b\u5f35\u529b\u81ea\u7531\u81a3\u30c6\u30fc\u30d7\uff08TVT\uff09\u306e\u633f\u5165\u306f\u3001\u91d1 standard \u306e\u5916\u79d1\u7684\u6cbb\u7642\u6cd5\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u3057\u304b\u3057\u3001\u91cd\u5ea6\u306e\u5c3f\u5931\u7981\u3092\u6301\u3064\u3059\u3079\u3066\u306e\u5973\u6027\u304cTVT\u304b\u3089\u540c\u3058\u3088\u3046\u306b\u5229\u76ca\u3092\u5f97\u308b\u304b\u3069\u3046\u304b\u306f\u4e0d\u660e\u3067\u3059\u3002\u3057\u305f\u304c\u3063\u3066\u3001\u672c\u7814\u7a76\u306e\u76ee\u7684\u306f\u3001\u91cd\u5ea6\u306e\u5c3f\u5931\u7981\u306e\u30ea\u30b9\u30af\u8981\u56e0\u3092\u7279\u5b9a\u3057\u3001TVT\u624b\u8853\u5f8c\u306e\u5c3f\u5931\u7981\u306e\u89e3\u6c7a\u304c\u3001\u91cd\u5ea6\u306e\u5c3f\u5931\u7981\u3092\u6301\u3064\u5973\u6027\u3068\u7570\u306a\u308b\u304b\u3069\u3046\u304b\u3092\u8abf\u3079\u308b\u3053\u3068\u3067\u3057\u305f\u3002\u5408\u8a08168\u4eba\u306e\u5973\u6027\u3092\u5bfe\u8c61\u306b\u3057\u305f\u3053\u306e\u5f8c\u308d\u5411\u304d\u30b3\u30db\u30fc\u30c8\u7814\u7a76\u306b\u304a\u3044\u3066\u3001\u91cd\u5ea6\u306e\u5c3f\u5931\u7981\u3092\u6301\u3064\u5973\u6027\u306f\u3001\u5c3f\u9053\u9589\u585e\u5727\u529b\uff08MUCP\uff09\u304c\u6709\u610f\u306b\u4f4e\u304b\u3063\u305f\uff08\u4e2d\u7b49\u5ea653 cmH2O \u5bfe \u91cd\u5ea639 cmH2O\u3001p = 0.001\uff09\u3001\u307e\u305fBMI\u304c\u6709\u610f\u306b\u9ad8\u304b\u3063\u305f\uff08\u4e2d\u7b49\u5ea626.1 kg\/m2 \u5bfe \u91cd\u5ea628.5 kg\/m2\u3001p = 0.045\uff09\u3002\u8d85\u97f3\u6ce2\u3067\u306e\u8180\u80f1\u9838\u90e8\u306e funneling \u306f\u3001\u91cd\u5ea6\u306e\u5c3f\u5931\u7981\u3092\u6301\u3064\u5973\u6027\u3067\u6709\u610f\u306b\u9ad8\u983b\u5ea6\u3067\u691c\u51fa\u3055\u308c\u305f\uff08\u4e2d\u7b49\u5ea627% \u5bfe \u91cd\u5ea657%\u3001p = 0.004\uff09\u3002\u4f4e\u3044MUCP\u3068\u9ad8\u3044BMI\u306f\u3001\u91cd\u5ea6\u306e\u5c3f\u5931\u7981\u306e\u91cd\u8981\u306a\u4e88\u6e2c\u56e0\u5b50\u3068\u3057\u3066\u7279\u5b9a\u3055\u308c\u307e\u3057\u305f\uff08p < 0.032\uff09\u3002\u51fa\u7523\u6b74\u3001\u5e74\u9f62\u3001\u5c3f\u9053\u306e\u6a5f\u80fd\u7684\u9577\u3055\u3001\u8ca0\u306e\u5c3f\u9053\u30b9\u30c8\u30ec\u30b9\u5727\u306b\u306f\u9055\u3044\u304c\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002TVT\u633f\u5165\u5f8c\u306e\u5168\u4f53\u7684\u306a\u5c3f\u5931\u7981\u306e\u89e3\u6c7a\u7387\u306f91.9%\u3067\u3057\u305f\u3002\u91cd\u5ea6\u306e\u5c3f\u5931\u7981\u3092\u6301\u3064\u5973\u6027\u3068\u4e2d\u7b49\u5ea6\u306e\u5c3f\u5931\u7981\u3092\u6301\u3064\u5973\u6027\u3068\u306e\u9593\u3067\u3001TVT\u633f\u5165\u5f8c\u306e\u5c3f\u5931\u7981\u306e\u89e3\u6c7a\u306b\u6709\u610f\u306a\u5dee\u306f\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002\u3064\u307e\u308a\u3001\u672c\u30b3\u30db\u30fc\u30c8\u3067\u306fTVT\u306e\u6210\u529f\u304c\u91cd\u5ea6\u306e\u5c3f\u5931\u7981\u306e\u7a0b\u5ea6\u306b\u6709\u610f\u306a\u5f71\u97ff\u3092\u53d7\u3051\u306a\u304b\u3063\u305f\u3068\u793a\u5506\u3055\u308c\u307e\u3057\u305f\u3002\u672c\u30b3\u30db\u30fc\u30c8\u3067\u306f\u3001\u4f4e\u3044MUCP\u3068\u9ad8\u3044BMI\u304c\u5c3f\u5931\u7981\u306e\u91cd\u75c7\u5ea6\u306e\u91cd\u8981\u306a\u4e88\u6e2c\u56e0\u5b50\u3067\u3042\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u307e\u3057\u305f\u3002\u3057\u304b\u3057\u3001\u3088\u308a\u91cd\u5ea6\u306e\u5c3f\u5931\u7981\u3092\u6301\u3064\u5973\u6027\u306b\u304a\u3044\u3066\u3082\u3001TVT\u306b\u3088\u308b\u5c3f\u5931\u7981\u306e\u6cbb\u7642\u6210\u679c\u306b\u5927\u304d\u306a\u9055\u3044\u306f\u898b\u3089\u308c\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n
TypeIII\u306e\u5834\u5408\u306f\u300186.1\uff05\u306b\u3068\u3069\u307e\u308b<\/h3>\n
\u526f\u6b21\u7684\u306a\u7d50\u679c\u3068\u3057\u3066\u3001\u6211\u3005\u306f\u5c3f\u5931\u7981\u306e\u91cd\u75c7\u5ea6\u304cTVT\u624b\u8853\u5f8c\u306e\u5c3f\u5931\u7981\u306e\u5f71\u97ff\u3092\u53d7\u3051\u308b\u304b\u3069\u3046\u304b\u3092\u78ba\u8a8d\u3057\u307e\u3057\u305f\u3002TVT\u633f\u5165\u5f8c\u306e\u5168\u4f53\u7684\u306a\u5c3f\u5931\u7981\u306e\u89e3\u6c7a\u7387\u306f91.9%\uff08160\u4eba\u4e2d147\u4eba\uff09\u3067\u3042\u308a\u3001SUI Grade I\/II\u306e\u60a3\u8005\u3067\u306f93.5%\uff08116\u4eba\uff09\u3001SUI III\u306e\u60a3\u8005\u3067\u306f86.1%\uff0831\u4eba\uff09\u3067\u3057\u305f\uff08p = 0.17\uff09<\/strong>\u3002\u3053\u308c\u3089\u306e\u7d50\u679c\u304b\u3089\u3001\u6211\u3005\u306e\u30b3\u30db\u30fc\u30c8\u3067\u306f\u3001TVT\u624b\u8853\u306e\u6210\u529f\u304c\u5c3f\u5931\u7981\u306e\u91cd\u75c7\u5ea6\u306b\u6709\u610f\u306a\u5f71\u97ff\u3092\u53d7\u3051\u306a\u304b\u3063\u305f\u3053\u3068\u304c\u793a\u5506\u3055\u308c\u307e\u3059\u3002<\/p>\n\u526f\u4f5c\u7528\u306b\u95a2\u3057\u3066\u306f\u3001TVT\u633f\u5165\u5f8c\u306b\u4e00\u904e\u6027\u306e\u6392\u5c3f\u6a5f\u80fd\u969c\u5bb3\u304c4\u4eba\uff082.3%\uff09<\/strong>\u3067\u78ba\u8a8d\u3055\u308c\u3001\u3044\u305a\u308c\u30826\u9031\u9593\u4ee5\u5185\u306b\u4ecb\u5165\u306a\u3057\u3067\u89e3\u6c7a\u3057\u307e\u3057\u305f\u3002\u305d\u306e\u3046\u30612\u4eba\u306fSUI Grade II\u3067\u30012\u4eba\u306fSUI Grade III\u3067\u3057\u305f\u3002\u3053\u308c\u3089\u306e\u3059\u3079\u3066\u306e\u60a3\u8005\u306f\u5f8c\u308d\u5411\u304dTVT\u633f\u5165\u3092\u53d7\u3051\u3066\u3044\u307e\u3057\u305f\u3002SUI Grade III\u306e1\u4eba\u306f\u5f8c\u308d\u5411\u304dTVT\u624b\u8853\u5f8c4\u65e5\u5f8c\u306b\u30c6\u30fc\u30d7\u4fee\u6b63\u3092\u884c\u3044\u307e\u3057\u305f\u3002\u30c6\u30fc\u30d7\u306e\u7de9\u548c\u624b\u8853\u5f8c\u3001\u6392\u5c3f\u6a5f\u80fd\u969c\u5bb3\u306f\u89e3\u6d88\u3057\u307e\u3057\u305f\u3002\u5f8c\u308d\u5411\u304dTVT\u633f\u5165\u3092\u53d7\u3051\u305f2\u4eba\u306e\u5973\u6027\u306f\u3068\u3082\u306b\u6301\u7d9a\u7684\u306a\u6392\u5c3f\u6a5f\u80fd\u969c\u5bb3\u304c\u3042\u308a\u3001\u30c6\u30fc\u30d7\u304c\u5206\u5272\u3055\u308c\u308b\u4fee\u6b63\u624b\u8853\u304c\u884c\u308f\u308c\u307e\u3057\u305f\u3002<\/p>\n2\u4eba\u306e\u5973\u6027\u306f\u81a3\u5185\u3067\u30c6\u30fc\u30d7\u306e\u6d78\u98df\u3092\u793a\u3057\u3001\u3044\u305a\u308c\u3082\u5f8c\u308d\u5411\u304dTVT\u624b\u8853\u5f8c\u306b\u75c7\u72b6\u304c\u73fe\u308c\u307e\u3057\u305f\u3002\u5f8c\u308d\u5411\u304d\u307e\u305f\u306f\u7d4c\u815f\u7684TVT\u624b\u8853\u5f8c\u306b\u3055\u3089\u306a\u308b\u6709\u5bb3\u4e8b\u8c61\u306f\u898b\u3089\u308c\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"J Clin Med. 2023 Aug 21;12(16):5422. \u00a0doi: 10.3390\/jcm12165422. Impact of Defined Risk Factors on Degree of Ur […]","protected":false},"author":1,"featured_media":2044,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[31,22],"tags":[],"_links":{"self":[{"href":"https:\/\/www.urogynnet.jp\/wp-json\/wp\/v2\/posts\/2043"}],"collection":[{"href":"https:\/\/www.urogynnet.jp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.urogynnet.jp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.urogynnet.jp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.urogynnet.jp\/wp-json\/wp\/v2\/comments?post=2043"}],"version-history":[{"count":1,"href":"https:\/\/www.urogynnet.jp\/wp-json\/wp\/v2\/posts\/2043\/revisions"}],"predecessor-version":[{"id":2045,"href":"https:\/\/www.urogynnet.jp\/wp-json\/wp\/v2\/posts\/2043\/revisions\/2045"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.urogynnet.jp\/wp-json\/wp\/v2\/media\/2044"}],"wp:attachment":[{"href":"https:\/\/www.urogynnet.jp\/wp-json\/wp\/v2\/media?parent=2043"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.urogynnet.jp\/wp-json\/wp\/v2\/categories?post=2043"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.urogynnet.jp\/wp-json\/wp\/v2\/tags?post=2043"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}