Roos Anne-Marie, Sultan Abdul H, Thakar Ranee
Department of Obstetrics and Gynecology, Mayday University Hospital, Croydon, Surrey, UK.
Int Urogynecol J Pelvic Floor Dysfunct. 2009 Apr;20(4):407-10. doi: 10.1007/s00192-008-0784-7. Epub 2008 Dec 12.
The aim of this study was to assess the correlation between St. Mark's incontinence score (SMIS) for anal incontinence and impact on quality of life (QoL), following primary repair of obstetric anal sphincter injuries (OASIS). Three hundred sixty-eight women who sustained OASIS completed a Manchester Health Questionnaire (MHQ) and the clinician calculated a SMIS. Spearman's correlation coefficients were calculated, and Mann-Whitney U test was used to compare different severity subgroups. Mean follow-up was 10 weeks and mean age was 30 years. Mean SMIS was 1.35. All MHQ QoL domains showed statistically significant positive correlation with SMIS. When comparing SMIS subgroups (0-4, 5-8, >8), mean QoL domain scores were higher with increasing SMIS. This shows that the objective assessment of severity of anal incontinence, using the SMIS, correlates to its impact on QoL in a relatively young population with low severity of symptoms and can, therefore, be used in women who sustain OASIS.
本研究的目的是评估产科肛门括约肌损伤（OASIS）一期修复术后，肛门失禁的圣马克失禁评分（SMIS）与生活质量（QoL）影响之间的相关性。368名发生OASIS的女性完成了曼彻斯特健康问卷（MHQ），并由临床医生计算出SMIS。计算了斯皮尔曼相关系数，并使用曼-惠特尼U检验比较不同严重程度亚组。平均随访时间为10周，平均年龄为30岁。平均SMIS为1.35。所有MHQ生活质量领域均与SMIS呈统计学显著正相关。比较SMIS亚组（0 - 4、5 - 8、>8）时，生活质量领域平均得分随SMIS升高而升高。这表明，使用SMIS对肛门失禁严重程度进行客观评估，与它对症状严重程度较低的相对年轻人群生活质量的影响相关，因此可用于发生OASIS的女性。
