干旱区生态环境知识资源中心(Arid): The Role of Three-Dimensional Endoanal Ultrasound on Diagnosis and Classification of Sphincter Defects After Childbirth

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DOI	10.1016/j.jss.2019.06.080
	The Role of Three-Dimensional Endoanal Ultrasound on Diagnosis and Classification of Sphincter Defects After Childbirth
	Tejedor, Patricia 1; Plaza, Javier 2; Bodega-Quiroga, Ignacio 3; Ortega-Lopez, Mario 1; Garcia-Olmo, Damian 1; Pastor, Carlos 1
通讯作者	Tejedor, Patricia
来源期刊	JOURNAL OF SURGICAL RESEARCH
ISSN	0022-4804
EISSN	1095-8673
出版年	2019
卷号	244 页码:382-388
英文摘要	Background: Diagnostic tests for fecal incontinence have been improved over time. This study aims to evaluate the role of Three-dimensional endoanal ultrasound (3D-EUS) and the Starck's score in the assessment and treatment of obstetric sphincter injuries. Methods: A prospective observational study was performed including primiparous women who were evaluated at 20 wk of pregnancy and 3 mo after childbirth. Sphincter defects were classified according to the Starck's and Obstetrical Anal Sphincter Injuries classifications. Patients also completed the Fecal Incontinence Quality of Life and the Wexner questionnaires before and after childbirth. Results: Sphincter defects were detected in 45% of the 56 women included, although 85% had an uneventful delivery. Most defects were found isolated to the external anal sphincter except for two cases, classified by a Starck's score >8. Fecal Incontinence Quality of Life and Wexner questionnaires showed a rate of symptomatic patients of around 46%. We observed that 30% of patients with sphincter injuries remained asymptomatic. Conclusions: The 3D-EUS is a useful test in assessing sphincter defects after childbirth. This method makes it possible to detect small sphincter defects that otherwise would have gone unnoticed, as 30% of patients with sphincter injuries were asymptomatic. In addition, both the 3D-EUS and the Starck's score were valuable in establishing an algorithm for the treatment of obstetric sphincter injuries. (C) 2019 Elsevier Inc. All rights reserved.
英文关键词	3D endoanal ultrasound Anal ultrasound Fecal incontinence Starck's score Sphincter injuries
类型	Article
语种	英语
国家	Spain
收录类别	SCI-E
WOS记录号	WOS:000491957000054
WOS关键词	QUALITY-OF-LIFE ; ANAL-SPHINCTER ; FECAL INCONTINENCE ; VAGINAL DELIVERY ; PRIMARY REPAIR ; PELVIC FLOOR ; SCORING SYSTEMS ; INJURIES OASIS ; TEARS ; URINARY
WOS类目	Surgery
WOS研究方向	Surgery
EI主题词	2019-12-01
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/311282
作者单位	1.Univ Hosp Fdn Jimenez Diaz, Dept Gen Surg, Div Colorectal Surg, Madrid, Spain; 2.Univ Hosp Fdn Jimenez Diaz, Dept Gynaecol & Obstet, Madrid, Spain; 3.Univ Hosp Gomez Ulla, Dept Gen Surg, Madrid, Spain
推荐引用方式 GB/T 7714	Tejedor, Patricia,Plaza, Javier,Bodega-Quiroga, Ignacio,et al. The Role of Three-Dimensional Endoanal Ultrasound on Diagnosis and Classification of Sphincter Defects After Childbirth[J],2019,244:382-388.
APA	Tejedor, Patricia,Plaza, Javier,Bodega-Quiroga, Ignacio,Ortega-Lopez, Mario,Garcia-Olmo, Damian,&Pastor, Carlos.(2019).The Role of Three-Dimensional Endoanal Ultrasound on Diagnosis and Classification of Sphincter Defects After Childbirth.JOURNAL OF SURGICAL RESEARCH,244,382-388.
MLA	Tejedor, Patricia,et al."The Role of Three-Dimensional Endoanal Ultrasound on Diagnosis and Classification of Sphincter Defects After Childbirth".JOURNAL OF SURGICAL RESEARCH 244(2019):382-388.