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DOI	10.1002/ijgo.14819
	Clinical, ultrasonographic, and functional outcomes after obstetric anal sphincter injury primary repair: A single-center experience
	Frigerio, Matteo; D'Alessandro, Gloria; Re, Ilaria; Cola, Alice; Vergani, Patrizia; Barba, Marta
通讯作者	Barba, M
来源期刊	INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
ISSN	0020-7292
EISSN	1879-3479
出版年	2023
卷号	163 期号:1 页码:234-242
英文摘要	ObjectiveTo present clinical and instrumental sequelae after obstetric anal sphincter injuries (OASIS), evaluating correlations between intrapartum severity of lesions, postpartum symptoms, and sonographic and manometric findings; outcomes during subsequent deliveries were also evaluated. MethodsThis retrospective study evaluated all consecutive women who sustained an OASIS between 2015 and 2020. Postpartum symptoms, anorectal manometry (ARM), and three-dimensional endoanal ultrasonography (3D-EAUS) were analyzed. ResultsA total of 107 women underwent OASIS primary repair; 84 (78.5%) of them were asymptomatic after 1 month. The presence and severity of symptoms showed a great correlation with instrumental outcomes in terms of maximum resting pressure, squeeze pressure increment (SPI), circumferential extension of defect for both external anal sphincter (EAS) and internal anal sphincter (IAS), and EAS, IAS and total Starck scores. There was a significant correlation between ARM and 3D-EAUS findings, with the exception of SPI, for which the abnormalities were not predictable based on EAUS results. ConclusionBoth ARM and EAUS findings after OASIS are directly related to each other, and associated with symptoms. These instrumental tools may be useful for OASIS assessment and counseling.
英文关键词	anal incontinence anal manometry endoanal ultrasound obstetric anal sphincter injuries third- and fourth-degree perineal tears
类型	Article
语种	英语
开放获取类型	hybrid
收录类别	SCI-E
WOS记录号	WOS:000980041300001
WOS关键词	PERINEAL TEARS ; INCONTINENCE ; ENDOSONOGRAPHY ; 3RD-DEGREE ; DEFECTS ; OASIS ; LACERATION ; ULTRASOUND ; RISK ; 3RD
WOS类目	Obstetrics & Gynecology
WOS研究方向	Obstetrics & Gynecology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/397006
推荐引用方式 GB/T 7714	Frigerio, Matteo,D'Alessandro, Gloria,Re, Ilaria,et al. Clinical, ultrasonographic, and functional outcomes after obstetric anal sphincter injury primary repair: A single-center experience[J],2023,163(1):234-242.
APA	Frigerio, Matteo,D'Alessandro, Gloria,Re, Ilaria,Cola, Alice,Vergani, Patrizia,&Barba, Marta.(2023).Clinical, ultrasonographic, and functional outcomes after obstetric anal sphincter injury primary repair: A single-center experience.INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS,163(1),234-242.
MLA	Frigerio, Matteo,et al."Clinical, ultrasonographic, and functional outcomes after obstetric anal sphincter injury primary repair: A single-center experience".INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS 163.1(2023):234-242.