干旱区生态环境知识资源中心(Arid): When to assess residual anal sphincter defect after OASI by ultrasound

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DOI	10.1016/j.ejogrb.2022.08.004
	When to assess residual anal sphincter defect after OASI by ultrasound
	Hubka, Petr; Dvorak, Jan; Lincova, Marcela; Masata, Jaromir; Martan, Alois; Svabik, Kamil
通讯作者	Svabik, K
来源期刊	EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY
ISSN	0301-2115
EISSN	1872-7654
出版年	2022
卷号	277 页码:8-11
英文摘要	Objectives: Obstetrical anal sphincter injuries (OASIS) are complications of vaginal delivery. Unrepaired anal sphincter after delivery increases the risk of anal incontinence. The aim of our study is to search for residual defect after OASI repair by 4D introital ultrasound (US). We hypothesised that imaging prior to hospital discharge would show the same number of defects as assessment at 3 months. Study design: This is a retrospective analysis of 138 patients with immediate repair after OASIS. Since 2009, we have been routinely inviting all our patients with OASIS to the perineal clinic for postoperative follow-up. We scheduled the first visit before discharge from hospital and followed up with a second visit after three months. During both visits, patients underwent transperineal 4D ultrasound examination. We provided examination while at rest and during contraction; volumes were saved for further evaluation. Results: Eighty-one patients (58.7%) completed both exams and were included in the analysis. Residual external anal sphincter defect was found in 17.3% at the first visit versus 13.6% at the second (delayed) visit. We were not able to assess the sphincter in 9.9% at early versus none in the delayed examination. In 9.9%, the residual defect was not confirmed by the second examination, and in 4.9% the residual defect was missed by the first examination. Conclusions: In conclusion, we have found that a 3 month scan yields a smaller number of defects than a scan before discharge.
英文关键词	Anal canal Birth injuries Faecal incontinence Perineum Ultrasonography Transperineal ultrasound 4D ultrasound
类型	Article
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000878863200003
WOS关键词	TRANSPERINEAL 3-DIMENSIONAL ULTRASOUND ; INJURIES OASIS ; PRIMARY REPAIR ; RISK-FACTORS ; INCONTINENCE ; COMPLEX ; 3RD-DEGREE ; MANAGEMENT ; TRAUMA ; TEARS
WOS类目	Obstetrics & Gynecology ; Reproductive Biology
WOS研究方向	Obstetrics & Gynecology ; Reproductive Biology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/392561
推荐引用方式 GB/T 7714	Hubka, Petr,Dvorak, Jan,Lincova, Marcela,et al. When to assess residual anal sphincter defect after OASI by ultrasound[J],2022,277:8-11.
APA	Hubka, Petr,Dvorak, Jan,Lincova, Marcela,Masata, Jaromir,Martan, Alois,&Svabik, Kamil.(2022).When to assess residual anal sphincter defect after OASI by ultrasound.EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY,277,8-11.
MLA	Hubka, Petr,et al."When to assess residual anal sphincter defect after OASI by ultrasound".EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY 277(2022):8-11.