干旱区生态环境知识资源中心(Arid): Modified Perineal Reconstruction Combined with Anal Sphincter Repair for Obstetric Anal Sphincter Injuries

Arid

DOI	10.2147/TCRM.S346899
	Modified Perineal Reconstruction Combined with Anal Sphincter Repair for Obstetric Anal Sphincter Injuries
	Wang, Xu; Liu, Yi-Nan; Sun, Di; Chen, Si; Huang, Bao-Lei; Tai, Jian-Dong
通讯作者	Tai, JD
来源期刊	THERAPEUTICS AND CLINICAL RISK MANAGEMENT
EISSN	1178-203X
出版年	2022
卷号	18 页码:739-744
英文摘要	Objective: The aim of this study was to investigate the clinical effectiveness of modified perineal reconstruction combined with anal sphincter repair in the treatment of obstetric anal sphincter injuries (OASIS).Methods: Twenty consecutive patients with an OASI who underwent modified perineal reconstruction combined with anal sphincter repair in the Department of Colorectal and Anal Surgery of the First Hospital of Jilin University from October 2015 to September 2017 were retrospectively enrolled in this study. Anal function was evaluated using the Williams grade, the Wexner score, anorectal manometry, and transrectal ultrasound.Results: Differences in both the Williams grade and the Wexner score prior to operation and following surgery indicated that anal function had improved, and these differences were statistically significant (P < 0.05). These indices also showed further improvement six months after surgery as compared with values at one month, and again, these differences were statistically significant (P < 0.05). In addition, anorectal manometry at six months following surgery showed statistically significant differences in the maximum anal resting pressure, maximum anal systolic pressure, and anal defecation pressure as compared with values prior to operation (P < 0.05). Postoperative endorectal ultrasound revealed that the anal sphincter presented with close imbricated overlapping.Conclusion: Modified perineal reconstruction combined with anal sphincter repair in the treatment of female perineal defect is associated with a good clinical outcome, strengthening anal function, and reconstructing the perineum, and is a possible method for clinical treatment.
英文关键词	modified perineal reconstruction bilateral V-Y island flap perineal laceration fecal incontinence anal function
类型	Article
语种	英语
开放获取类型	Green Published, gold
收录类别	SCI-E
WOS记录号	WOS:000835024200001
WOS类目	Health Care Sciences & Services
WOS研究方向	Health Care Sciences & Services
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/394727
推荐引用方式 GB/T 7714	Wang, Xu,Liu, Yi-Nan,Sun, Di,et al. Modified Perineal Reconstruction Combined with Anal Sphincter Repair for Obstetric Anal Sphincter Injuries[J],2022,18:739-744.
APA	Wang, Xu,Liu, Yi-Nan,Sun, Di,Chen, Si,Huang, Bao-Lei,&Tai, Jian-Dong.(2022).Modified Perineal Reconstruction Combined with Anal Sphincter Repair for Obstetric Anal Sphincter Injuries.THERAPEUTICS AND CLINICAL RISK MANAGEMENT,18,739-744.
MLA	Wang, Xu,et al."Modified Perineal Reconstruction Combined with Anal Sphincter Repair for Obstetric Anal Sphincter Injuries".THERAPEUTICS AND CLINICAL RISK MANAGEMENT 18(2022):739-744.