Correlation between levator ani muscle injuries on magnetic resonance imaging and fecal incontinence, pelvic organ prolapse, and urinary incontinence in primiparous women.
Correlation between levator ani muscle injuries on magnetic resonance imaging and fecal incontinence, pelvic organ prolapse, and urinary incontinence in primiparous women.
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DOI：
10.1016/j.ajog.2010.01.002
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发表时间：
2010-05
影响因子：
9.8
通讯作者：
Delancey JO
中科院分区：
文献类型：
--
作者：
Heilbrun ME;Nygaard IE;Lockhart ME;Richter HE;Brown MB;Kenton KS;Rahn DD;Thomas JV;Weidner AC;Nager CW;Delancey JO
旨在将磁共振成像 (MRI) 上的主要提肛肌 (LAM) 损伤与产后 6-12 个月的初产妇大便失禁 (FI)、盆腔器官脱垂 (POP) 和尿失禁 (UI) 相关联。已发布的评分系统用于对 MRI 上的 LAM 损伤进行二分表征（MRI−，无/轻度与 MRI+，重度）。在肛门外括约肌 (EAS) 损伤的阴道分娩妇女中观察到严重的 LAM 损伤，在没有 EAS 损伤的阴道分娩妇女中观察到 3/88(3.5%)，在临产前剖腹产的妇女中观察到 0/29(0%) (p=0.0005)。在患有 EAS 损伤的女性中，患有严重 LAM 损伤的女性倾向于发生更多的 FI（35.3% vs. 16.7% (p=0.10)）和 POP（35.3% vs. 15.5%（p=0.09）），但没有 UI（p=1.0）。这些数据支持越来越多的文献表明 EAS 和 LAM 对于大便失禁都很重要，并且多种损伤会导致盆底功能障碍。
To correlate the presence of major levator ani muscle (LAM) injuries on magnetic resonance imaging (MRI) with fecal incontinence (FI), pelvic organ prolapse (POP) and urinary incontinence (UI) in primiparous women 6–12 months postpartum. A published scoring system was used to characterize LAM injuries on MRI dichotomously (MRI−, no/mild versus MRI+, major). Major LAM injuries were observed in 17/89(19.1%) women who delivered vaginally with external anal sphincter (EAS) injuries, in 3/88(3.5%) who delivered vaginally without EAS injury, and in 0/29(0%) who delivered by Cesarean before labor (p=0.0005). Among women with EAS injuries, those with major LAM injuries trended towards more FI, 35.3% vs. 16.7% (p=0.10) and POP, 35.3% vs. 15.5% (p=0.09), but not UI (p=1.0). These data support the growing body of literature suggesting that both EAS and LAM are important for fecal continence and that multiple injuries contribute to pelvic floor dysfunction.
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影响因子：
1.8
作者：
Tan, JS;Lukacz, ES;Nager, CW
通讯作者：
Nager, CW
影响因子：
7.2
作者：
Bradley, CS;Nygaard, IE
通讯作者：
Nygaard, IE
影响因子：
1.8
作者：
Handa, Victoria L.;Lockhart, Mark E.;Kenton, Kimberly S.;Bradley, Catherine S.;Fielding, Julia R.;Cundiff, Geoffrey W.;Salomon, Caryl G.;Hakim, Christiane;Ye, Wen;Richter, Holly E.
通讯作者：
Richter, Holly E.
影响因子：
1.8
作者：
Morgan, Daniel M.;Umek, Wolfgang;DeLancey, John O. L.
通讯作者：
DeLancey, John O. L.
影响因子：
7.2
作者：
FEINSTEIN, AR;CICCHETTI, DV
通讯作者：
CICCHETTI, DV