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首页> 外文期刊>International Urogynecology Journal >Anal sphincter defects and anal incontinence symptoms after repair of obstetric anal sphincter lacerations in primiparous women
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Anal sphincter defects and anal incontinence symptoms after repair of obstetric anal sphincter lacerations in primiparous women

机译：初产妇产科肛门括约肌撕裂伤修复后肛门括约肌缺陷和肛门失禁症状

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摘要

A study was carried out to identify (1) incidence of anal incontinence symptoms, (2) incidence and size of both external anal sphincter (EAS) and internal anal sphincter (IAS) defects, and (3) relationship between anal incontinence symptoms and IAS or EAS defect size after repair of an obstetric anal sphincter laceration. Forty-seven vaginally primiparous women underwent obstetric anal sphincter laceration repair. At 8–12 weeks postpartum, anal incontinence symptoms were assessed, and endoanal ultrasound was performed. At 1–2 years postpartum, symptoms were reassesseds. The incidence of anal incontinence symptoms at 8–12 weeks was 43%. The incidence of IAS and EAS defects were 32% and 77%, respectively. IAS defects ≥45 degrees were predictive of symptoms (p = 0.02). After 18 months mean follow-up, 11% reported chronic symptoms. After anal sphincter laceration repair, anal incontinence symptoms occur in 43% of women and remain chronic in 11%. Anal incontinence symptoms are associated with increasing IAS defect size.
机译：进行了一项研究以确定（1）肛门失禁症状的发生率，（2）肛门外括约肌（EAS）和肛门内括约肌（IAS）缺陷的发生率和大小，以及（3）肛门失禁症状与IAS之间的关系或产科肛门括约肌撕裂伤修复后的EAS缺损大小。 47名阴道初生妇女接受了产科肛门括约肌撕裂伤的修复。产后8–12周，评估肛门失禁症状，并进行肛门内超声检查。产后1-2年，对症状进行重新评估。 8-12周内肛门失禁症状的发生率为43％。 IAS和EAS缺陷的发生率分别为32％和77％。 ≥45度的IAS缺陷可预示症状（p = 0.02）。平均随访18个月后，有11％的患者报告了慢性症状。肛门括约肌撕裂伤修复后，有43％的女性出现肛门失禁症状，而11％的女性仍表现为慢性。肛门失禁症状与IAS缺损增大有关。

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