Obstetric anal sphincter injuries: strategies for prevention, diagnosis, and management

被引：0

作者：

Seidenari, Anna ^{[1
]}

Cuicchi, Dajana ^{[2
]}

Youssef, Aly ^{[1
]}

Oliver, Emily A. ^{[3
]}

Montaguti, Elisa ^{[1
]}

Bellussi, Federica ^{[3
]}

机构：

[1] Univ Bologna, St Orsola Malpighi Univ Hosp, Dept Med & Surg Sci, Bologna, Italy

[2] Univ Bologna, Unit Gen Surg, Policlin S Orsola Malpighi, Med & Surg Dept, Bologna, Italy

[3] Thomas Jefferson Univ, Div Maternal Fetal Med, Dept Obstet & Gynecol, Sidney Kimmel Coll Med, Philadelphia, PA 19107 USA

来源：

MINERVA OBSTETRICS AND GYNECOLOGY | 2021年 / 73卷 / 01期

关键词：

Ultrasonography; Anal canal; Fecal incontinence; 3-DIMENSIONAL TRANSPERINEAL ULTRASOUND; FECAL INCONTINENCE; PRIMARY REPAIR; RISK-FACTORS; TEARS; POSITION; ENDOSONOGRAPHY; DELIVERY; DEFECTS; RUPTURE;

D O I：

10.23736/S0026-4784.20.04668-7

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Obstetric anal sphincter injuries (OASIS) are one of the most common causes of anal incontinence (AI) in women of reproductive age and can have a significant impact on quality of life. However, many women do not report symptoms to their physicians because of embarrassment and shame. Therefore, prevention and diagnosis of the tear is essential. Diagnostic strategies have evolved considerably in recent years, with an increase in prevalence of OASIS as a consequence. The use of 3D endoanal (3D-EAUS) and 4D transperineal ultrasound (4D-TPUS), in addition to standard clinical examination have enhanced the detection of OASIS. Once identified, adequate repair by a skilled practitioner and optimal postpartum management should be ensured in order to reduce the risk of anal incontinence. This review presents the available evidence on strategies for prevention, diagnosis, and management of OASIS.

引用

页码：74 / 81

页数：8

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[1] Perineal techniques during the second stage of labour for reducing perineal trauma [J].