产科肛门括约肌损伤：预防、诊断和管理策略。

IF 1 Q2 Medicine

Minerva ginecologica Pub Date : 2020-11-30 DOI:10.23736/S0026-4784.20.04668-7

A. Seidenari, D. Cuicchi, A. Youssef, Emily A. Oliver, E. Montaguti, F. Bellussi

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引用次数: 1

摘要

产科肛门括约肌损伤（OASIS）是育龄妇女肛门失禁（AI）最常见的原因之一，会对生活质量产生重大影响。然而，许多女性因为尴尬和羞耻而不向医生报告症状。因此，预防和诊断撕裂是至关重要的。近年来，诊断策略有了很大的发展，OASIS的患病率也因此增加。除了标准的临床检查外，3D肛门内超声（3D-EAUS）和4D经会阴超声（4D-TPUS）的使用增强了OASIS的检测。一旦确定，应确保由熟练的从业者进行充分的修复和最佳的产后管理，以降低肛门失禁的风险。这篇综述介绍了OASIS的预防、诊断和管理策略的可用证据。

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

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.

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来源期刊

Minerva ginecologica OBSTETRICS & GYNECOLOGY-

CiteScore

3.00

自引率

0.00%

发文量

期刊介绍： The journal Minerva Ginecologica publishes scientific papers on obstetrics and gynecology. Manuscripts may be submitted in the form of editorials, original articles, review articles, case reports, therapeutical notes, special articles and letters to the Editor. Manuscripts are expected to comply with the instructions to authors which conform to the Uniform Requirements for Manuscripts Submitted to Biomedical Editors by the International Committee of Medical Journal Editors (www.icmje.org). Articles not conforming to international standards will not be considered for acceptance.