作者
Marta E Heilbrun, Ingrid E Nygaard, Mark E Lockhart, Holly E Richter, Morton B Brown, Kimberley S Kenton, David D Rahn, John V Thomas, Alison C Weidner, Charles W Nager, John O Delancey
发表日期
2010/5/1
期刊
American journal of obstetrics and gynecology
卷号
202
期号
5
页码范围
488. e1-488. e6
出版商
Mosby
简介
OBJECTIVE
The objective of the study was 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.
STUDY DESIGN
A published scoring system was used to characterize LAM injuries on MRI dichotomously (MRI negative, no/mild vs MRI positive, major).
RESULTS
Major LAM injuries were observed in 17 of 89 (19.1%) women who delivered vaginally with external anal sphincter (EAS) injuries, 3 of 88 (3.5%) who delivered vaginally without EAS injury, and 0 of 29 (0%) who delivered by cesarean section before labor (P = .0005). Among women with EAS injuries, those with major LAM injuries trended toward more FI, 35.3% vs 16.7% (P = .10) and POP, 35.3% vs 15.5% (P = .09), but not UI (P = 1.0).
CONCLUSION
These data …
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ME Heilbrun, IE Nygaard, ME Lockhart, HE Richter… - American journal of obstetrics and gynecology, 2010