干旱区生态环境知识资源中心(Arid): Immediate postpartum assessment of the anal sphincter by endovaginal ultrasound: An experimental study

Arid

DOI	10.1007/s00192-022-05191-9
	Immediate postpartum assessment of the anal sphincter by endovaginal ultrasound: An experimental study
	Hurni, Yannick; Maes, Elise; Avau, Fiona; Becu, Lauren; Buljubasic, Marie; Danon, Alix; Paquier, Leila; Garofalo, Giulia; Albert, Valerie; Pastijn, Ann
通讯作者	Hurni, Y
来源期刊	INTERNATIONAL UROGYNECOLOGY JOURNAL
ISSN	0937-3462
EISSN	1433-3023
出版年	2022
卷号	33 期号:6 页码:1639-1647
英文摘要	Introduction and hypothesis Obstetric anal sphincter injuries are frequently missed and carry a significant risk for the development of anal incontinence. Immediate postpartum endoanal ultrasound increases identification of these injuries but is rarely employed. We hypothesize that endovaginal ultrasound could be a feasible and easily available alternative sonographic tool to improve early diagnosis of anal sphincter tears. Methods We conducted a prospective experimental study including 160 primiparous women. Shortly after vaginal delivery, patients underwent clinical and sonographic perineal examinations. We analyzed the feasibility of anal sphincter assessment by endovaginal ultrasound and its potential contribution in the early diagnosis of anal sphincter injuries. Results Sonographic assessment of the anal sphincter was analyzable for 136 patients (85.0%). Causes of non-analyzability included air artifacts (6.9%), lack of distinction between the external anal sphincter and surrounding tissues (9.4%) and distortion artifacts (9.4%). Patients in the non-analyzable ultrasound subgroup were less likely to have delivered in a dorsal lithotomy position (62.5% vs. 85.3 %) and more likely to have had an episiotomy (33.3% vs. 14.0%), and their risk of sphincter injury was more frequently classified as improbable on clinical examination (91.7% vs. 61.0%). Ultrasounds were analyzable for 96.4% of patients clinically reported as having possible or certain sphincter injuries. The incidence of anal sphincter injury was 16.9% for clinical observation and 20.0% with associated sonographic examination. Conclusions Endovaginal ultrasound could be used as a complementary tool in assessment of the anal sphincter in high-risk patients. Its feasibility and easy availability make this technique a promising tool for improving the management of anal sphincter tears.
英文关键词	Anal sphincter complex Anal incontinence Endovaginal ultrasound Obstetrical anal sphincter injuries Perineal ultrasound
类型	Article
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000779774600004
WOS关键词	VAGINAL ENDOSONOGRAPHY ; 3-DIMENSIONAL ULTRASOUND ; FECAL INCONTINENCE ; INJURIES OASIS ; TRANSPERINEAL ; DELIVERY ; DEFECTS ; COMPLEX ; TEARS ; WOMEN
WOS类目	Obstetrics & Gynecology ; Urology & Nephrology
WOS研究方向	Obstetrics & Gynecology ; Urology & Nephrology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/393217
推荐引用方式 GB/T 7714	Hurni, Yannick,Maes, Elise,Avau, Fiona,et al. Immediate postpartum assessment of the anal sphincter by endovaginal ultrasound: An experimental study[J],2022,33(6):1639-1647.
APA	Hurni, Yannick.,Maes, Elise.,Avau, Fiona.,Becu, Lauren.,Buljubasic, Marie.,...&Pastijn, Ann.(2022).Immediate postpartum assessment of the anal sphincter by endovaginal ultrasound: An experimental study.INTERNATIONAL UROGYNECOLOGY JOURNAL,33(6),1639-1647.
MLA	Hurni, Yannick,et al."Immediate postpartum assessment of the anal sphincter by endovaginal ultrasound: An experimental study".INTERNATIONAL UROGYNECOLOGY JOURNAL 33.6(2022):1639-1647.