Magann Everett F, Chauhan Suneet P, Rodts-Palenik Sheryl, Bufkin Laura, Martin James N, Morrison John C
Department of Obstetrics and Gynecology, the University of Western Australia, Perth, Australia.
Am J Obstet Gynecol. 2002 Jun;186(6):1119-23. doi: 10.1067/mob.2002.123823.
The purpose of this study was to compare a subcutaneous stitch closure and subcutaneous drain placement for the risk of wound disruption after cesarean delivery.
This was a prospective randomized clinical trial that evaluated subcutaneous stitch closure, placement of a subcutaneous drain, or no closure for subsequent wound disruption risk in women with subcutaneous depth at >or=2 cm.
The maternal demographics and intrapartum risk factors for postoperative wound disruptions were similar among the 964 study subjects, who were divided into 3 groups. Wound disruptions that required opening of the wound, irrigation, debridement, packing, and/or secondary delayed closure occurred in 9.7% of the women with no closure, 10.4% of the women in the stitch closure group, and 10.3% of the women in the closed drain group (P =.834).
There appears to be no difference in the subsequent risk of wound complications when no closure of the subcutaneous tissue layers occurs versus suture closure or a closed drainage system.
本研究旨在比较剖宫产术后皮下缝合关闭及放置皮下引流对伤口裂开风险的影响。
这是一项前瞻性随机临床试验，评估皮下深度≥2cm的女性采用皮下缝合关闭、放置皮下引流或不进行关闭对后续伤口裂开风险的影响。
964名研究对象被分为3组，其产妇人口统计学特征及产后伤口裂开的产时风险因素相似。未进行关闭的女性中，9.7%发生了需要打开伤口、冲洗、清创、填塞和/或二期延迟缝合的伤口裂开；缝合关闭组女性中这一比例为10.4%；闭式引流组女性中为10.3%（P = 0.834）。
皮下组织层不进行关闭与缝合关闭或闭式引流系统相比，后续伤口并发症风险似乎没有差异。
