Research advancement of anal sphincter assessment in women by transperineal ultrasound

WANG Tong; XIE Li-mei

Journal of China Clinic Medical Imaging ›› 2017, Vol. 28 ›› Issue (8) : 588-591.

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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.

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Anus / Wounds and injuries / Ultrasonography

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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

References

[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.