一项比较剖宫产皮肤缝合方式的随机研究：吻合钉与皮下缝合。
A randomized study comparing skin closure in cesarean sections: staples vs subcuticular sutures.
作者信息
Rousseau Julie-Anne, Girard Karine, Turcot-Lemay Lucile, Thomas Nancy
机构信息
Department of Obstetrics and Gynecology, Laval University, Quebec, QC, Canada.
出版信息
Am J Obstet Gynecol. 2009 Mar;200(3):265.e1-4. doi: 10.1016/j.ajog.2009.01.019.
OBJECTIVE
We sought to compare postoperative pain according to the skin closure method (subcuticular sutures vs staples) after an elective term cesarean section.
STUDY DESIGN
A randomized controlled trial of 101 women was performed. Women were randomly assigned to subcuticular sutures or staples. Operative technique and postoperative analgesia were standardized. Stratification was used for primary vs repeat cesareans. Analog pain and satisfaction scales ranging from 0-10 were completed at postoperative days 1 and 3, and at 6 weeks postoperatively. A digital photograph of the incision was taken at 6 weeks postoperatively and evaluated by 3 independent blinded observers.
RESULTS
Pain at 6 weeks postoperatively was significantly less in the staple group (0.17 vs 0.51; P = .04). Operative time was shorter in that group (24.6 vs 32.9 minutes; P < .0001). No difference was noted for incision appearance and women's satisfaction.
CONCLUSION
Staples are the method of choice for skin closure for elective term cesareans in our population.
目的
我们试图比较择期足月剖宫产术后采用皮下缝合与皮肤钉合两种皮肤闭合方法的疼痛情况。
研究设计
对101名女性进行了一项随机对照试验。将女性随机分为皮下缝合组或皮肤钉合组。手术技术和术后镇痛均标准化。对初次剖宫产与再次剖宫产进行分层。术后第1天、第3天以及术后6周完成0至10分的模拟疼痛和满意度量表评分。术后6周拍摄切口数码照片，并由3名独立的盲法观察者进行评估。
结果
皮肤钉合组术后6周时疼痛明显较轻（0.17对0.51；P = 0.04）。该组手术时间较短（24.6对32.9分钟；P < 0.0001）。切口外观和女性满意度方面未发现差异。
结论
在我们的研究人群中，皮肤钉合是择期足月剖宫产皮肤闭合的首选方法。
Zotero 插件