Fehlmann Aurore, Epiney Manuella, Dallenbach Patrick
Service de gynécologie, Département de la femme, de l'enfant et de l'adolescent, HUG, 1211 Genève 14.
Service d'obstétrique, Département de la femme, de l'enfant et de l'adolescent, HUG, 1211 Genève 14.
Rev Med Suisse. 2021 Oct 20;17(755):1792-1797.
Obstetric anal sphincter injury (OASI) is a complication of vaginal delivery. Its potential consequences are numerous and include anal and/or fecal incontinence, sexual problems and perineal pain, which can be aggravated by future pregnancies and childbirth. One common issue after OASI is the assessment of anorectal function to discuss the delivery modalities during the next pregnancy. This dedicated assessment includes a clinical and paraclinical evaluation, with an ultrasound and/or a manometry. This personalized assessment for each patient with a history of sphincter injury allows for a detailed discussion to decide on the route of delivery in an informed manner.
产科肛门括约肌损伤（OASI）是阴道分娩的一种并发症。其潜在后果众多，包括肛门和/或大便失禁、性功能问题及会阴疼痛，这些问题可能因未来的怀孕和分娩而加重。OASI后的一个常见问题是评估肛门直肠功能，以便讨论下一胎的分娩方式。这种专门的评估包括临床和辅助检查评估，采用超声和/或测压法。对每位有括约肌损伤史的患者进行这种个性化评估，有助于进行详细讨论，从而明智地决定分娩途径。
