Youssef N, Berrafato V, Mida M, Vitse M, Boulanger J C
Service de Gynécologie-Obstétrique, CHR de Chauny.
Rev Fr Gynecol Obstet. 1989 Oct;84(10):651-7.
This concerns a multicenter study including 51 centers of the North, Picardy and Champagne areas, 35 public institutions and 16 private institutions. This study was carried out on 7,216 records of Caesarean sections, collected between 1978 and 1983. The objective of this study was to specify maternal and fetal morbidity in Caesarean sections. In this study, the authors attempted to establish a correlation between this morbidity and the parietal incision, as well as compare the responsibility of each of the two incisions that were performed: midline infraumbilical and Pfannenstiel's incision. From a neonatal standpoint, they have demonstrated that the type of parietal incision has no bearing on the condition of the child at birth, in spite of a slightly longer extraction time in the Pfannenstiel incision. From a maternal standpoint, they found a similar number of wall abscesses and wound dehiscence. Abdominal wall hematomas are slightly more frequent with the Pfannenstiel incision and this difference is significant. The reservations formulated concerning transverse incisions and especially the Pfannenstiel incision do not appear to be justified.
这是一项多中心研究，涵盖了北部、皮卡第和香槟地区的51个中心，其中包括35家公立机构和16家私立机构。该研究基于1978年至1983年间收集的7216例剖宫产记录展开。本研究的目的是明确剖宫产术中的母婴发病率。在这项研究中，作者试图建立这种发病率与腹壁切口之间的关联，并比较所施行的两种切口（脐下中线切口和耻骨联合上横切口）各自的影响。从新生儿的角度来看，他们已经证明，尽管耻骨联合上横切口的娩出时间略长，但腹壁切口的类型对出生时婴儿的状况并无影响。从母亲的角度来看，他们发现两种切口导致的腹壁脓肿和伤口裂开数量相近。耻骨联合上横切口导致的腹壁血肿略为常见，且这种差异具有统计学意义。对横向切口尤其是耻骨联合上横切口的保留意见似乎并无依据。
