剖宫产术后预防性皮下引流预防伤口并发症的荟萃分析
Prophylactic subcutaneous drainage for prevention of wound complications after cesarean delivery--a metaanalysis.
作者信息
Hellums Elizabeth K, Lin Monique G, Ramsey Patrick S
机构信息
Center for Women's Reproductive Health, Division of Maternal-Fetal Medicine, Department of Obstetrics/Gynecology, University of Alabama at Birmingham, Birmingham, AL, USA.
出版信息
Am J Obstet Gynecol. 2007 Sep;197(3):229-35. doi: 10.1016/j.ajog.2007.05.023.
A systematic literature review and meta-analysis of published data evaluating the effectiveness of prophylactic subcutaneous drainage to prevent wound complications in women undergoing cesarean delivery was performed. We identified 6 randomized trials of prophylactic subcutaneous drainage after cesarean delivery. Meta-analysis was performed and Peto odds ratios were calculated for each study outcome. The use of prophylactic subcutaneous drainage was not associated with a reduction in the rate of wound disruption (odds ratio 0.74, 95% CI: 0.39-1.42, P = .36, infection (odds ratio 1.15, 95% CI: 0.70-1.90, P = .58), hematoma (odds ratio 1.05, 95% CI: 0.33-3.30, P = .94), or seroma (odds ratio 0.44, 95% CI: 0.14-1.43, P = .17) when compared with women who were not receiving subcutaneous drainage. Prophylactic use of subcutaneous drainage does not prevent significant wound complications after cesarean delivery.
我们对已发表的数据进行了一项系统的文献综述和荟萃分析，以评估预防性皮下引流在预防剖宫产妇女伤口并发症方面的有效性。我们确定了6项关于剖宫产术后预防性皮下引流的随机试验。进行了荟萃分析，并计算了每项研究结果的Peto比值比。与未接受皮下引流的妇女相比，预防性皮下引流的使用与伤口裂开率的降低无关（比值比0.74，95%置信区间：0.39-1.42，P = 0.36）、感染（比值比1.15，95%置信区间：0.70-1.90，P = 0.58）、血肿（比值比1.05，95%置信区间：0.33-3.30，P = 0.94）或血清肿（比值比0.44，95%置信区间：0.14-1.43，P = 0.17）。剖宫产术后预防性使用皮下引流并不能预防显著的伤口并发症。
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