Abstract:
INTRODUCTION:Endoanal ultrasound is considered the gold standard when assessing the obstetric anal sphincter complex. Due to its relative intrusiveness and economic cost, other ultrasound modalities are on the rise, such as transperineal ultrasound with a convex probe. The aim of our study was to evaluate the agreement between endoanal ultrasound scores (EAUS score) and transperineal ultrasound scores (TPUS score) in assessing residual obstetric anal sphincter defects. MATERIAL AND METHODS:Fifty-nine women were examined 6 months after primary suturing of obstetric anal sphincter injury with two ultrasound modalities. A standardized scoring system analyzing the length, depth and radial extent of both the external (EAS) and internal (IAS) sphincter was used. Wexner fecal incontinence score was used to assess the patients' symptoms. RESULTS:Transperineal ultrasound scores score showed a strong significant correlation with EAUS score during both pelvic floor relaxation and contraction: Spearman's rho [rs ] = 0.74, P < 0.001, and rs = 0.77, P < 0.001, respectively. For both EAS and IAS, significant correlations were found for all parameters, that is, length, depth and angle between both EAUS and TPUS. A statistically significant correlation was found between EAUS score and Wexner score (rs = 0.36, P = 0.005). A significant correlation between the EAS-EAUS score (rs = 0.36, P = 0.005) and Wexner score was found, but no significance was found between IAS-EAUS score and Wexner score (rs = 0.22, P = 0.097). Significant correlations were found for Wexner score and TPUS score in resting state (rs = 0.36, P = 0.01) and contracting state (rs = 0.28, P < 0.05), and between Wexner score and EAS-TPUS score in resting state (rs = 0.32, P = 0.02). CONCLUSIONS:The results indicated a strong agreement between endoanal and transperineal ultrasound in assessing residual obstetric anal sphincter defects 6 months after primary suturing. Furthermore, a weak significant correlation was found between the ultrasound scores and the patients' Wexner fecal incontinence score.
journal_name
Acta Obstet Gynecol Scandjournal_title
Acta obstetricia et gynecologica Scandinavicaauthors
Stuart A,Ignell C,Örnö AKdoi
10.1111/aogs.13701subject
Has Abstractpub_date
2019-12-01 00:00:00pages
1624-1631issue
12eissn
0001-6349issn
1600-0412journal_volume
98pub_type
杂志文章abstract:BACKGROUND:The Term Breech Trial has considerably increased the number of cesareans. External cephalic version (ECV) might be an effective method of lowering the rate of cesareans; its efficacy has been well established. However, although in the absence of anesthesia the risks are thought to be low, most studies have u...
journal_title:Acta obstetricia et gynecologica Scandinavica
pub_type: 杂志文章,评审
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更新日期:2004-06-01 00:00:00
abstract::Two pregnancy tests, ModEL serum hCG Assay and ModEL Urine hCG Assay, were evaluated using sera and urine from 46 patients suspected of pathologic early pregnancy, of whom 22 patients had spontaneous abortion and 9 an ectopic pregnancy. ModEL Serum hCG Assay had a 100% sensitivity and specificity, thus demonstrating i...
journal_title:Acta obstetricia et gynecologica Scandinavica
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abstract:BACKGROUND:A major goal of Finnish family planning policy since the 1970s has been to minimize unintended pregnancies by providing equal contraception and abortion services throughout the country. This report looks at how this policy has succeeded among teenagers. METHODS:The data on childbirths, induced abortions and...
journal_title:Acta obstetricia et gynecologica Scandinavica
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doi:10.3109/00016349609054668
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abstract:BACKGROUND:To assess pregnancy course and outcome after conservative treatment of a cesarean scar pregnancy. METHODS:During an 8-year period, 15 cases of cesarean scar pregnancies were diagnosed at our institution. Seven of the 14 patients for whom we successfully preserved the uterus became pregnant within 3 years af...
journal_title:Acta obstetricia et gynecologica Scandinavica
pub_type: 杂志文章
doi:10.1111/j.0001-6349.2004.00445.x
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journal_title:Acta obstetricia et gynecologica Scandinavica
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doi:
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abstract:INTRODUCTION:There is an increase in women delivering ≥35 years of age. We analyzed the association between advanced maternal age and pregnancy outcomes in late- and postterm pregnancies. MATERIAL AND METHODS:A national cohort study was performed on obstetrical low-risk women using data from the Netherlands Perinatal ...
journal_title:Acta obstetricia et gynecologica Scandinavica
pub_type: 杂志文章
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更新日期:2020-08-01 00:00:00
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journal_title:Acta obstetricia et gynecologica Scandinavica
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journal_title:Acta obstetricia et gynecologica Scandinavica
pub_type: 杂志文章
doi:10.1111/j.0001-6349.2004.00441.x
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journal_title:Acta obstetricia et gynecologica Scandinavica
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journal_title:Acta obstetricia et gynecologica Scandinavica
pub_type: 杂志文章
doi:
更新日期:1999-04-01 00:00:00
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journal_title:Acta obstetricia et gynecologica Scandinavica
pub_type: 临床试验,杂志文章,多中心研究
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journal_title:Acta obstetricia et gynecologica Scandinavica
pub_type: 杂志文章
doi:10.1034/j.1600-0412.2002.810308.x
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journal_title:Acta obstetricia et gynecologica Scandinavica
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更新日期:2004-04-01 00:00:00
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journal_title:Acta obstetricia et gynecologica Scandinavica
pub_type: 评论,杂志文章,评审
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更新日期:2016-06-01 00:00:00
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journal_title:Acta obstetricia et gynecologica Scandinavica
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更新日期:2007-01-01 00:00:00
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journal_title:Acta obstetricia et gynecologica Scandinavica
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1997-07-01 00:00:00
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journal_title:Acta obstetricia et gynecologica Scandinavica
pub_type: 杂志文章
doi:10.1111/j.0001-6349.2005.00882.x
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journal_title:Acta obstetricia et gynecologica Scandinavica
pub_type: 杂志文章
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journal_title:Acta obstetricia et gynecologica Scandinavica
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doi:10.3109/00016349709034913
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journal_title:Acta obstetricia et gynecologica Scandinavica
pub_type: 杂志文章
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更新日期:2017-04-01 00:00:00
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journal_title:Acta obstetricia et gynecologica Scandinavica
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journal_title:Acta obstetricia et gynecologica Scandinavica
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journal_title:Acta obstetricia et gynecologica Scandinavica
pub_type: 杂志文章
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更新日期:1981-01-01 00:00:00
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更新日期:2017-11-01 00:00:00
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journal_title:Acta obstetricia et gynecologica Scandinavica
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更新日期:2014-06-01 00:00:00
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更新日期:1979-01-01 00:00:00
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journal_title:Acta obstetricia et gynecologica Scandinavica
pub_type: 临床试验,杂志文章
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更新日期:2020-11-01 00:00:00
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pub_type: 杂志文章
doi:10.3109/00016349009006164
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更新日期:1984-01-01 00:00:00