Croce P, Frigoli A, Perotti D, Di Mario M
Divisione di Ginecologia ed Ostetricia, Civico Ospedale di Codogno, Via Pio Rossi 19/E, 26863 Orio Litta, Lodi, Italy.
Minerva Ginecol. 2007 Dec;59(6):595-9.
The aim of the study was to compare the outcome, complications and costs of three skin suture techniques after Caesarean section.
The study sample was 310 women who underwent caesarean section between 2003 and 2007. The sample was divided into three groups: an intradermal suture with non-reabsorbable thread was applied in 98; metallic clips were placed in 90; 2-octyl-cyanoacrylate (2-OCA) glue was used for wound closure in 112. The sutures were checked at 4 days and 2 months after the operation to determine cosmetic outcome, patient compliance, strength of incision closure, allergic reactions, suture infection, and total cost of each technique.
No substantial differences in strength of incision closure or cosmetic outcome between the techniques were found. Compliance was better in the group that received 2-OCA, while the total cost of suture alone was lower in the group that received the non-reabsorbable intradermal suture.
The results suggests that following Caesarean section according to Stark, skin suture with 2-OCA glue has the advantage of greater patient compliance, while intradermal thread suture is less costly with a cosmetic outcome comparable to that of the other two techniques.
本研究旨在比较剖宫产术后三种皮肤缝合技术的效果、并发症及成本。
研究样本为2003年至2007年间接受剖宫产的310名女性。样本分为三组：98例采用不可吸收线皮内缝合；90例使用金属夹；112例使用2-辛基氰基丙烯酸酯（2-OCA）胶水进行伤口闭合。术后4天和2个月检查缝线，以确定美容效果、患者依从性、切口闭合强度、过敏反应、缝线感染以及每种技术的总成本。
未发现不同技术在切口闭合强度或美容效果上存在显著差异。接受2-OCA的组依从性更好，而接受不可吸收皮内缝合的组仅缝线总成本更低。
结果表明，按照施塔克法进行剖宫产后，使用一2-OCA胶水进行皮肤缝合具有患者依从性更高的优势，而皮内线缝合成本更低，美容效果与其他两种技术相当。
