Serrano C W, Wright J W, Newton E R
Department of Obstetrics and Gynecology, University of Texas Health Science Center, San Antonio.
Obstet Gynecol. 1991 Apr;77(4):525-8.
Perforation of surgical gloves places the obstetrician at risk for blood-borne infectious diseases. Seven hundred fifty-four surgical gloves used in vaginal and cesarean deliveries and postpartum tubal ligations were examined for evidence of perforation by the air inflation-water submersion technique. The overall glove perforation rate was 13.3%, with 62% of the perforations remaining unrecognized during the surgical procedure. The majority of perforations occurred on the fingers of the nondominant hand. Multivariate analysis with logistic regression indicated that cesarean delivery (odds ratio 3.52), any vaginal laceration or episiotomy (odds ratio 4.95), and chief resident status (odds ratio 3.00) were the major risk factors for surgical glove perforation. Surgical technique by assistants, especially in complex cases, is as important as that of the primary surgeon in regard to glove perforations.
手术手套穿孔会使产科医生面临血源性传染病的风险。采用空气充气-水浸技术对754副用于阴道分娩、剖宫产和产后输卵管结扎的手术手套进行检查，以寻找穿孔证据。手套总体穿孔率为13.3%，其中62%的穿孔在手术过程中未被发现。大多数穿孔发生在非优势手的手指上。逻辑回归多变量分析表明，剖宫产（优势比3.52）、任何阴道撕裂或会阴切开术（优势比4.95）以及住院总医师身份（优势比3.00）是手术手套穿孔的主要危险因素。助手的手术技术，尤其是在复杂病例中，在手套穿孔方面与主刀医生的技术同样重要。
