Orji E O, Olaleye A O, Loto O M, Ogunniyi S O
Department of Obstetrics, Gynaecology and Perinatology, Obafemi Awolowo University, Ile-Ife, Nigeria.
Aust N Z J Obstet Gynaecol. 2008 Dec;48(6):570-4. doi: 10.1111/j.1479-828X.2008.00902.x.
There is not enough information to evaluate the routine use of exteriorisation of the uterus for repair of the uterine incision and further studies are needed to examine the value of exteriorisation of the uterus at caesarean section as against non-exteriorisation.
To assess intraoperative and postoperative morbidity following exteriorisation of the uterus at caesarean section as compared to those with non-exteriorisation.
A randomised controlled trial at Obafemi Awolowo University Teaching Hospital, Ile Ife, Nigeria. Two hundred and ten women were randomised to either exteriorisation (N = 105) or non-exteriorisation group (N = 105). Statistical analysis using SPSS compared intraoperative and postoperative outcome. The outcome measures include intraoperative blood loss, number of analgesic dose, difference in operating time, febrile morbidity, intraoperative complications, and duration of hospital stay.
There were significant reductions in intraoperative blood loss (P < 0.05), number of analgesic dose (P < 0.05) and duration of hospital stay (P < 0.05) in the uterine exteriorisation group as compared to those in the non-exteriorisation group. There was no significant difference in operating time, febrile morbidity, intraoperative complications and operating time. The period for return of bowel function was significantly longer in the exteriorisation group.
Exteriorisation of uterus at caesarean section is associated with less intraoperative blood loss, less number of analgesic dose and shorter hospital stay.
目前尚无足够信息评估子宫外置用于子宫切口修复的常规应用，需要进一步研究以检验剖宫产时子宫外置与不进行子宫外置的价值。
评估剖宫产时子宫外置与不进行子宫外置相比的术中及术后发病率。
在尼日利亚伊费奥巴费米·阿沃洛沃大学教学医院进行一项随机对照试验。210名妇女被随机分为子宫外置组（N = 105）和非子宫外置组（N = 105）。使用SPSS进行统计分析，比较术中及术后结果。结果指标包括术中失血量、镇痛剂剂量、手术时间差异、发热发病率、术中并发症及住院时间。
与非子宫外置组相比，子宫外置组术中失血量（P < 0.05）、镇痛剂剂量（P < 0.05）及住院时间（P < 0.05）均显著减少。手术时间、发热发病率、术中并发症及手术时间无显著差异。子宫外置组肠功能恢复时间显著更长。
剖宫产时子宫外置与术中失血量减少、镇痛剂剂量减少及住院时间缩短相关。
