Li M, Zou L, Zhu J
Department of Obstetrics and Gynecology, Xiehe Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022.
J Tongji Med Univ. 2001;21(1):75-7. doi: 10.1007/BF02888044.
172 cases of pregnant women scheduled for delivery by cesarean section were randomly assigned to 59 cases in modification group with modified Misgav Ladach technique, 57 cases in Misgav Ladach group with Misgav Ladach technique and 56 cases in Pfannenstiel group with Pfannenstiel technique from May to Dec. 1999. The modified points included: transversely incising the fascia 2 to 3 cm, then dividing it bluntly; without opening and dissociating the visceral peritoneum; two layers suturing of low transverse uterine incision; closing the skin by continuous suturing. Results showed the average delivery time in the modification group was (3.6 +/- 2.6) min and (5.7 +/- 2.9) min in the Misgav Ladach group (P < 0.05). Median operating time was (28.3 +/- 5.4) min in modification group compared with (27.5 +/- 6.5) min in the Misgav Ladach group (P > 0.05). Average blood loss was (128 +/- 35) ml in modification group compared with (212 +/- 147) ml in the Pfannenstiel group (P < 0.05). It was concluded that the modified Misgav Ladach technique not only preserved all advantages of Misgav Ladach method, but also had additional advantages, such as faster in delivering the fetus, less damage, easier mastering for obstetricians.
1999年5月至12月，将172例行剖宫产术的孕妇随机分为改良组59例，采用改良的米氏剖宫产术；米氏组57例，采用米氏剖宫产术；Pfannenstiel组56例，采用Pfannenstiel术式。改良要点包括：横行切开筋膜2～3cm，然后钝性分离；不打开和游离脏腹膜；子宫下段横切口两层缝合；连续缝合关闭皮肤。结果显示，改良组平均娩出时间为（3.6±2.6）分钟，米氏组为（5.7±2.9）分钟（P<0.05）。改良组中位手术时间为（28.3±5.4）分钟，米氏组为（27.5±6.5）分钟（P>0.05）。改良组平均出血量为（128±35）ml，Pfannenstiel组为（212±147）ml（P<0.05）。结论：改良的米氏剖宫产术不仅保留了米氏剖宫产术的所有优点，还具有娩出胎儿更快、损伤更小、产科医生更容易掌握等优点。
