Yael Baumfeld, Qi Wei, Jittima Manonai, Jonia Alshiek, S Abbas Shobeiri
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引用次数: 0
Abstract
Objectives: This study aimed to assess the architecture of the levator plate and anal complex in women with fecal incontinence using 3-dimensional endoanal ultrasound (EAUS).
Methods: A retrospective cohort study reviewed EAUS examinations performed on women with fecal incontinence. The anal complex and levator plate architecture were examined and compared to a control group of women without fecal incontinence. The anal canal was divided into 6 different areas, and the visibility of specific structures was recorded. Measurements of the external anal sphincter (EAS) length, levator plate length, and the distance between the EAS and the levator plate were taken.
Results: The study included 31 patients with fecal incontinence and 30 nulliparous controls. Significant differences were observed in the anal complex anatomy between the 2 groups. The fecal incontinence group had a higher prevalence of abnormal levator plate anatomy (84%) than the control group (3%). The EAS size was significantly smaller in the fecal incontinent group (16 versus 18 mm, P = .04), and there was a shorter distance between the EAS and the levator plate (22 versus 28 mm, P = .001).
Conclusions: Women with fecal incontinence exhibited significant changes in the anatomy of the anal canal, particularly in caudad structures of the anal sphincter complex. Additionally, a shorter distance between the levator plate and the EAS was observed in fecal incontinent patients. Sonographic assessment adds much to the evaluation of defecatory disorders.
目的：本研究旨在利用三维肛管超声（EAUS）评估女性大便失禁的提肛板和肛门复合体的结构。方法：一项回顾性队列研究回顾了对女性大便失禁进行的EAUS检查。检查肛门复合体和提肛板结构，并与无大便失禁的对照组妇女进行比较。将肛管分为6个不同的区域，记录特定结构的可见性。测量外肛括约肌（EAS）长度、提肛板长度以及EAS与提肛板之间的距离。结果：本研究纳入大便失禁患者31例，对照组30例。两组患者肛门复合体解剖结构差异有统计学意义。大便失禁组的提肛板解剖异常发生率（84%）高于对照组（3%）。大便失禁组的EAS尺寸明显较小（16比18 mm， P = .04）， EAS与提肛板之间的距离较短（22比28 mm， P = .001）。结论：女性大便失禁表现出肛管解剖结构的显著变化，特别是肛门括约肌复合体的尾部结构。此外，在大便失禁患者中，发现提肛板与EAS之间的距离更短。超声检查增加了对排便障碍的评估。
期刊介绍：
The Journal of Ultrasound in Medicine (JUM) is dedicated to the rapid, accurate publication of original articles dealing with all aspects of medical ultrasound, particularly its direct application to patient care but also relevant basic science, advances in instrumentation, and biological effects. The journal is an official publication of the American Institute of Ultrasound in Medicine and publishes articles in a variety of categories, including Original Research papers, Review Articles, Pictorial Essays, Technical Innovations, Case Series, Letters to the Editor, and more, from an international bevy of countries in a continual effort to showcase and promote advances in the ultrasound community.
Represented through these efforts are a wide variety of disciplines of ultrasound, including, but not limited to:
-Basic Science-
Breast Ultrasound-
Contrast-Enhanced Ultrasound-
Dermatology-
Echocardiography-
Elastography-
Emergency Medicine-
Fetal Echocardiography-
Gastrointestinal Ultrasound-
General and Abdominal Ultrasound-
Genitourinary Ultrasound-
Gynecologic Ultrasound-
Head and Neck Ultrasound-
High Frequency Clinical and Preclinical Imaging-
Interventional-Intraoperative Ultrasound-
Musculoskeletal Ultrasound-
Neurosonology-
Obstetric Ultrasound-
Ophthalmologic Ultrasound-
Pediatric Ultrasound-
Point-of-Care Ultrasound-
Public Policy-
Superficial Structures-
Therapeutic Ultrasound-
Ultrasound Education-
Ultrasound in Global Health-
Urologic Ultrasound-
Vascular Ultrasound
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