Sørensen M, Tetzschner T, Rasmussen O O, Bjarnesen J, Christiansen J
Kirurgisk-gastroenterologisk afdeling D, Amtssygehuset i Glostrup.
Ugeskr Laeger. 1994 May 23;156(21):3173-5.
Thirty-eight women with anal sphincter rupture during childbirth were followed for three to 12 months. Fourteen patients presented with continence disturbances, nine to solid or fluid faeces and five to gas. Incontinence was present in nine patients three months after childbirth. Anal manometry and anal electromyography were performed on the patients three to five days after delivery and repeated at three, six and twelve months after childbirth. Manometry and electromyography were performed on 16 control subjects and 24 primiparous control patients who were investigated three to five days and three months after delivery. Anal manometry and anal electromyography showed significant differences between both incontinent and continent patients compared to control subjects and primiparous control patients. Primiparous control patients had decreased squeeze pressure as well as decreased electromyographic activity during the first days after delivery compared to control subjects. After three months no differences were found. Continence disturbances are frequent after sphincter rupture and these patients should be monitored after delivery and those with persisting incontinence offered sphincter repair.
对38例分娩时发生肛门括约肌破裂的女性进行了3至12个月的随访。14例患者出现控便障碍，其中9例为固体或液体粪便失禁，5例为气体失禁。9例患者在产后3个月出现失禁。在分娩后3至5天对患者进行肛门测压和肛门肌电图检查，并在产后3个月、6个月和12个月重复检查。对16名对照受试者和24名初产妇对照患者在分娩后3至5天和3个月进行了肛门测压和肛门肌电图检查。与对照受试者和初产妇对照患者相比，肛门测压和肛门肌电图显示失禁患者和控便患者之间存在显著差异。与对照受试者相比，初产妇对照患者在分娩后的头几天挤压压力降低，肌电图活动也降低。3个月后未发现差异。括约肌破裂后控便障碍很常见，这些患者在分娩后应进行监测，对持续失禁的患者应进行括约肌修复。
