结局指标“单胎自然分娩时的三度/四度会阴撕裂”在产科中是一个可靠的质量参数吗？
Is the Outcome Indicator "3rd/4th Degree Perineal Tear in Spontaneous Singleton Births" a Reliable Quality Parameter in Obstetrics?
作者信息
Franz H B G, Erxleben C W J
机构信息
Frauenklinik Klinikum Braunschweig, Braunschweig.
Charité Universitätsmedizin Berlin, Berlin.
出版信息
Geburtshilfe Frauenheilkd. 2015 Feb;75(2):145-147. doi: 10.1055/s-0035-1545703.
Abstract
Obstetric sphincter damage is the most common cause of fecal incontinence in women. Between one-third and two-thirds of women who sustain a recognized third-degree tear during delivery subsequently suffer from fecal incontinence. We should therefore try to reduce the rate of high-grade tears as much as possible. But this rate can only be used as an outcome indicator for the quality of obstetric departments if the recognition and classification of sphincter injury is similar across departments in different hospitals.
摘要
产科括约肌损伤是女性大便失禁最常见的原因。在分娩过程中发生公认的三度撕裂伤的女性中，三分之一到三分之二的人随后会出现大便失禁。因此，我们应尽可能降低严重撕裂伤的发生率。但是，只有当不同医院各科室对括约肌损伤的识别和分类相似时，这一发生率才能用作产科科室质量的结果指标。
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