Shoham Z, Blickstein I, Zosmer A, Katz Z, Borenstein R
Department of Obstetrics and Gynecology, Kaplan Hospital, Rehovot, Israel.
Eur J Obstet Gynecol Reprod Biol. 1989 Aug;32(2):67-70. doi: 10.1016/0028-2243(89)90185-8.
Low-isthmic transverse uterine incision was performed in 66 patients during Cesarean section indicated for transverse fetal lie. No significant differences were noted in the 1 and 5 min Apgar scores among fetuses delivered before or after rupture of the membranes. In only 5 (7.6%) of these cases was the incision converted into an inverted-T. The 1 min Apgar score was significantly lower in this group (6.0 +/- 1.3) compared to the rest of the group (7.5 +/- 1.7, P less than 0.01), however, the 5 min score showed no significant difference. No significant complications were noted in the post-operative course of mother and fetuses. We concluded that the transverse uterine incision is safe for the Cesarean delivery of the transverse-lying fetus.
在因横位胎儿行剖宫产的66例患者中，采用了低位峡部横切口子宫切开术。胎膜破裂前后分娩的胎儿，其1分钟和5分钟阿氏评分无显著差异。在这些病例中，只有5例（7.6%）切口改为倒T形。该组1分钟阿氏评分（6.0±1.3）显著低于其余组（7.5±1.7，P<0.01），然而，5分钟评分无显著差异。母婴术后过程中未发现明显并发症。我们得出结论，子宫横切口对于横位胎儿剖宫产是安全的。
