Gaertner Isabell, Burkhardt Tilo, Beinder Ernst
Department of Obstetrics and Gynaecology, Clinic of Obstetrics, University Hospital of Zurich, Zurich, Switzerland.
Eur J Obstet Gynecol Reprod Biol. 2008 May;138(1):29-33. doi: 10.1016/j.ejogrb.2007.07.003. Epub 2007 Sep 6.
To determine the role of skin and subcutaneous space closure in caesarean section on the cosmetic appearance of the scar and the patients' satisfaction.
153 patients undergoing caesarean section without prior abdominal delivery were included and randomly assigned in a non-blinded study to four different combinations of skin and subcutaneous tissue closure. The scar was assessed after a period of at least 4 months by a self-developed protocol and the patient was asked to complete a survey regarding her satisfaction with the scar.
One hundred patients were eligible for long-term evaluation of the scar. Skin closure by either staples or intracutaneous suture in combination with closure or non-closure of the subcutaneous space has a comparable outcome in view of cosmetic outcome and patient satisfaction.
All four methods of skin closure seem to be a reasonable choice in caesarean section because they have comparable cosmetic outcome, do not differ with respect to the patients' satisfaction and bear comparable costs.
确定剖宫产术中皮肤及皮下组织缝合方式对瘢痕外观及患者满意度的影响。
纳入153例未曾有过腹部手术史的剖宫产患者，在一项非盲法研究中随机将其分为四组，采用四种不同的皮肤及皮下组织缝合组合方式。至少4个月后，依据自行制定的方案评估瘢痕情况，并要求患者完成一份关于其对瘢痕满意度的调查问卷。
100例患者符合瘢痕长期评估标准。就瘢痕外观及患者满意度而言，使用吻合钉或皮内缝合联合皮下组织缝合或不缝合的皮肤缝合方式，其效果相当。
剖宫产术中的四种皮肤缝合方法似乎都是合理选择，因为它们在瘢痕外观效果上相当，患者满意度无差异，且成本相当。
