Prospective Study
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jun 7, 2017; 23(21): 3900-3906
Published online Jun 7, 2017. doi: 10.3748/wjg.v23.i21.3900
Role of three-dimensional endoanal ultrasound in assessing the anal sphincter morphology of female patients with chronic proctalgia
Ya-Hong Xue, Shu-Qing Ding, Yi-Jiang Ding, Li-Qun Pan
Ya-Hong Xue, Shu-Qing Ding, Yi-Jiang Ding, The National Anorectal Medicine Center of Chinese Medicine, the Third Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing 210001, Jiangsu Province, China
Li-Qun Pan, Nanjing University of Traditional Chinese Medicine, Nanjing 210046, Jiangsu Province, China
Author contributions: Ding YJ and Pan LQ contributed equally to this work and should be considered as co-corresponding authors; Xue YH performed the three-dimensional endoanal ultrasound examination, collected and analyzed the data, and wrote the paper; Ding SQ advised on the design and performance of the study; Ding YJ designed the study and provided the foundation; Pan LQ participated in the design of the study and is responsible for the paper’s reliability.
Supported by the State Administration of Traditional Secretary and the Nanjing Health Bureau, No. YKK12142.
Institutional review board statement: The study was reviewed and approved by the institutional review boards of Nanjing Chinese Medicine Hospital Ethics Committee in China.
Informed consent statement: All study participants provided written consent prior to study enrollment.
Conflict-of-interest statement: The authors of this manuscript having no conflicts of interest to disclose.
Data sharing statement: There are no additional data available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Li-Qun Pan, MD, PhD, Nanjing University of Traditional Chinese Medicine, No.138 Xianlin Avenue, Nanjing 210046, Jiangsu Province, China. cr_ane@163.com
Telephone: +86-18951755197 Fax: +86-25-52276740
Received: November 14, 2016
Peer-review started: November 15, 2016
First decision: January 10, 2017
Revised: February 7, 2017
Accepted: March 31, 2017
Article in press: March 31, 2017
Published online: June 7, 2017
Core Tip

Core tip: This study prospectively evaluated the anal sphincter morphology and function of chronic proctalgia (CP) in female patients by three-dimensional endoanal ultrasound. Here, we employed puborectalis angle to assess the paradoxical contraction of the puborectalis muscle (PR) in CP. The PR thickness and paradoxical contraction of PR are associated with CP, which may be promising diagnosis factors for CP.