Ezechi O C, Kalu B K E, Njokanma F O, Nwokoro C A, Okeke G C E
Havana Specialist Hospital, Lagos, Nigeria.
West Afr J Med. 2005 Jan-Mar;24(1):41-3. doi: 10.4314/wajm.v24i1.28161.
The safety of the technique of uterine exteriorization at caesarean section though popular among obstetricians, remains controversial.
To evaluate the influence of exteriorization of uterus during uterine repair on caesarean morbidity.
A randomized comparative study of 136 women undergoing primary caesarean delivery at Havana Specialist Hospital Lagos Nigeria. Data on operation time, estimated blood loss, postoperative morbidities were collected and analysed with comparison between the two groups using chi square, Fischer's exact test and t-test as appropriate.
The mean operative time, estimated blood loss, transfusion rate and postoperative anemia rate were significantly less in the exteriorized group than the intraperitoneal group (p = 0.000, 0.009,0.048 0.038 and 0.028 respectively), but not in other outcome measures.
With shorter operative time, less blood loss and similar morbidity profile exteriorization of uterus during caesarean section seems to be preferred except where it is not possible because of adhesions and surgeons inexperience.
剖宫产术中子宫外置技术虽受产科医生欢迎，但其安全性仍存在争议。
评估子宫修复时子宫外置对剖宫产发病率的影响。
在尼日利亚拉各斯哈瓦那专科医院对136例行初次剖宫产的妇女进行随机对照研究。收集手术时间、估计失血量、术后发病率等数据，并根据情况使用卡方检验、费舍尔精确检验和t检验对两组进行比较分析。
外置组的平均手术时间、估计失血量、输血率和术后贫血率显著低于腹腔内组（p值分别为0.000、0.009、0.048、0.038和0.028），但在其他结局指标方面无差异。
剖宫产时子宫外置手术时间短、失血量少且发病率相似，似乎更可取，除非因粘连或外科医生经验不足而无法进行。
