经会阴超声评价女性肛门括约肌的研究进展

王 彤,解丽梅

中国临床医学影像杂志 ›› 2017, Vol. 28 ›› Issue (8) : 588-591.

中国临床医学影像杂志 ›› 2017, Vol. 28 ›› Issue (8) : 588-591.
综述

经会阴超声评价女性肛门括约肌的研究进展

作者信息 +

Research advancement of anal sphincter assessment in women by transperineal ultrasound

Author information +
文章历史 +

摘要

肛门括约肌的损伤会引起产后妇女会阴疼痛、性交困难(性交疼痛)以及肛门失禁等症状,对妇女产后的生理及心理造成很大影响。肛门括约肌损伤的预防、早期诊断和修复对产后妇女生活质量的提高十分有利。因此,一项可以准确且容易被患者接受的评估肛门括约肌的检查方法显得十分必要。经会阴探查肛门括约肌作为一项十分经济、便捷、有效的检查方法,已经开始应用于临床肛门括约肌损伤的诊断。

Abstract

Obstetric anal sphincter injuries(OASIS) are associated with significant maternal morbidity including perineal pain, dyspareunia(painful sexual intercourse) and anal incontinence, which can lead to psychological and physical sequelae. The prevention, early diagnosis and repair of scathing anal sphincter are very beneficial to postpartum women which they can improve their life quality. So, one examination with accurancy and acceptance is very necessary for patient to assess anal sphincter. On clinic, the transperineal 3D-US imaging has become a portable, effective and relatively inexpensive modality to evaluate the anatomic integrity of the muscles of the anal sphincter.

关键词

肛门 / 创伤和损伤 / 超声检查

Key words

Anus / Wounds and injuries / Ultrasonography

引用本文

导出引用
王 彤,解丽梅. 经会阴超声评价女性肛门括约肌的研究进展[J]. 中国临床医学影像杂志. 2017, 28(8): 588-591
WANG Tong, XIE Li-mei. Research advancement of anal sphincter assessment in women by transperineal ultrasound[J]. Journal of China Clinic Medical Imaging. 2017, 28(8): 588-591
中图分类号: R657.12    R445.1   

参考文献

[1]Memon HU, Handa VL. Vaginal childbirth and pelvic floor disorders[J]. Womens Health(Lond), 2013, 9(3): 265-277.
[2]郭娟,王慧芳. 超声诊断产伤性肛门括约肌损伤的研究进展[J]. 中国医学影像技术,2013,29(12):2049-2052.
[3]Kenton K, Mueller ER. The global burden of female pelvic floor disorders[J]. BJU Int, 2006, 98(1): 1-5.
[4]Fernando RJ, Sultan AH, Kettle C, et al. Methods of repair for obstetric anal sphincter injury[J]. Cochrane Database Syst Rev, 2013, 8(12): 1-53.
[5]Scheer I, Andrews V, Thakar R, et al. Urinary incontinence after obstetric anal sphincter injuries(OASIS)—is there a relationship?[J]. Int Urogynecol J Pelvic Floor Dysfunct, 2008, 19(2): 179-183.
[6]Stedenfeldt M, Pirhonen J, Blix E, et al. Anal incontinence, urinary incontinence and sexual problems in primiparous women—a comparison between women with episiotomy only and women with episiotomy and obstetric anal sphincter injury[J]. BMC Womens Health, 2014, 14: 157.
[7]Garmi G, Peretz H, Braverman M, et al. Risk factors for obstetric anal sphincter injury: to prolong or to vacuum?[J]. Midwifery, 2016, 34(22): 178-182.
[8]Handa VL, Blomquist JL, McDermott KC, et al. Pelvic floor disorders after childbirth: effect of episiotomy, perineal laceration, and operative birth[J]. Obstet Gynecol, 2012, 119(2): 233-239.
[9]Richter HE, Nager CW, Burgio KL, et al. Incidence and predictors of anal incontinence after obstetric anal sphincter injury in primiparous women[J]. Female Pelvic Med Reconstr Surg, 2015, 21(4): 182-189.
[10]Johannessen HH, Wibe A, Stordahl A, et al. Anal incontinence among first time mothers—what happens in pregnancy and the first year after delivery?[J]. Acta Obstet Gynecol Scand, 2015, 94(9): 1005-1013.
[11]Fitzpatrick M, Cassidy M, Barassaud ML, et al. Dose anal sphincter injury preclude subsequent vaginal delivery?[J]. Eur J Obstet Gynecol Reprod Biol, 2016, 198(3): 30-34.
[12]张书信. 肛门内括约肌解剖生理学研究进展[J]. 结直肠肛门外科,2006,12(1):60-64.
[13]柏树令,应大君. 系统解剖学[M]. 8版. 北京:人民卫生出版社,2014:119.
[14]Mahadevan V. The anatomy of the rectum and anal canal[J]. Surgery, 2011, 29(1): 5-10.
[15]Enck P, Hinninghofen H, Merletti R, et al. The external anal sphincter and the role of surface electromyogra[J]. Neurogastroenterol Motil, 2005, 17(1): 60-67.
[16]肖元宏,刘贵麟. 盆底序列解剖对肛门外括约肌复合体中间环的立体构象观察[J]. 军医进修学院学报,2012,33(10):1024-1026.
[17]Faltin DL, Boulvain M, Floris LA, et al. Diagnosis of anal sphincter tears to prevent fecal incontinence: a randomized controlled trial[J]. Obstet Gynecol, 2005, 106(1): 6-13.
[18]Abdool Z, Sultan AH, Thakar R. Ultrasound imaging of the anal sphincter complex: a review[J]. Br J Radiol, 2012, 85(1015): 865-875.
[19]Shek KL, Rojas RG, Dietz HP. Residual defects of the external anal sphincter following primary repair: an observational study using transperineal ultralsound[J]. Ultralsound Obstet Gynecol, 2014, 44(6): 704-709.
[20]Shek KI, Rojas RG, Dietz HP, et al. The evolution of transperineal ultrasound findings of the external anal sphincter during the first yearsafter childbirth[J]. Int Urogynecol J, 2016, 27(12): 1899-1903.
[21]Weinstein MM, Pretorius DH, Jung SA, et al. Transperineal three-dimensional ultrasound imaging for detection of anatomic defects in the anal sphincter complex muscles[J]. Clin Gastroenterol Hepatol, 2009, 7(2): 205-211.
[22]艾中立,袁玉峰. 肛门括约肌损伤的诊治[J]. 临床外科杂志,2007,15(2):82-83.
[23]Frudinger A, Bartram CI, Kamm MA. Transvaginal versus anal endosonography for detecting damage to the anal sphincter[J]. AJR, 1997, 168(6): 1435-1438.
[24]Meriwether KV, Hall RJ, Leeman LM, et al. 2D and 3D endoanal and translabial ultrasound measurement variation in normal postpartum measurements of the anal sphincter complex[J]. Int Urogynecol J, 2015, 26(4): 511-517.
[25]孙立倩,王宏桥,付青,等. 经会阴盆底超声在女性压力性尿失禁诊疗中的应用进展[J]. 中华医学超声杂志,2015,12(2):99-102.
[26]Dietz HP. Translabial ultrasound in the assessment of pelvic floor and anorectal function in women with defecatory disorders[J]. Tech Coloproctol, 2014, 18(5): 481-494.
[27]García-Mejido JA, Gutiérrez Palomino L, Fernández Palacín A, et al. Applicability of 3/4D transperineal ultrasound for the diagnosis of anal sphincter injury during the immediate pospartum[J]. Cir Cir, 2015, 85(1): 80-86.
[28]Ozyurt S, Aksoy H, Gedikbasi A, et al. Screening occult anal sphincter injuries in primigravid women after vaginal delivery with transperineal use of vaginal probe: a prospective, randomized controlled trial[J]. Arch Gynecol Obstet, 2015, 292(4): 853-859.
[29]杨粟芬,赵倩. 经会阴二维超声对产后女性盆底功能的初步筛查[J]. 中国医疗设备,2013,28(6):168-169.
[30]Valsky DV, Messing B, Petkova R, et al. Postpartum evaluation of the anal sphincter by transperineal three-dimensional ultrasound in primiparous women after vaginal delivery and following surgical repair of third-degree tears by the overlapping technique[J]. Ultrasound Obstet Gynecol, 2007, 29(2): 195-204.
[31]Valsky DV, Cohen SM, Lipschuetz M, et al. Three-dimensional transperineal ultrasound findings associated with anal incontinence after intrapartum sphincter tears in primiparous women[J]. Ultrasound Obstet Gynecol, 2012, 39(1): 83-90.
[32]王慧芳,郭娟,杨秋红,等. 二维腔内超声筛查隐性肛门括约肌损伤的初步研究[J]. 中国超声医学杂志,2016,32(7):644-647.
[33]Merwether KV, Hall RJ, Leeman RJ, et al. The relationship of 3-D translabial ultrasound anal sphincter complex measurements to postpartum anal and fecal incontinence[J]. Int Urogynecol J, 2015, 26(8): 1191-1199.
[34]Titi MA, Jenkins JT, Urie A, et al. Perineum compression during EAUS enhances visualization of anterior anal sphincter defects[J]. Colorectal Dis, 2009, 11(6): 625-630.
[35]Mittal RK, Bhargava V, Sheean G, et al. Purse-string morphology of external anal sphincter revealed by novel imaging techniques[J]. Am J Physiol Gastrointest Liver Physiol, 2014, 306(6): 505-514.

基金

辽宁省自然科学基金项目(2015020538)。

Accesses

Citation

Detail

段落导航
相关文章

/