采用患者和观察者评估量表（POSAS）对剖宫产术后使用PEAK等离子手术刀和手术刀所形成的手术切口进行比较性美容效果评估：一项随机双盲研究。
Comparative cosmetic outcome of surgical incisions created by the PEAK Plasma Blade and a scalpel after cesarean section by Patient and Observer Assessment Scale (POSAS): A randomized double blind study.
作者信息
Ekin Murat, Dagdeviren Hediye, Caypinar Sema Suzen, Erdogan Bilgen, Ayag Mehmet Emin, Cengiz Huseyin, Yasar Levent, Helvacioglu Çaglar
机构信息
Department of Obstetrics and Gynecology, Bakirkoy Dr. Sadi Konuk Teaching and Research Center, University of Health Sciences, Istanbul, Turkey.
Department of Obstetrics and Gynecology, Bakirkoy Dr. Sadi Konuk Teaching and Research Center, University of Health Sciences, Istanbul, Turkey.
出版信息
Taiwan J Obstet Gynecol. 2018 Feb;57(1):68-70. doi: 10.1016/j.tjog.2017.12.011.
OBJECTIVE
To compare the cosmetic result of the PEAK Plasma Blade with traditional scalpel in patients who had primary cesarean delivery by using POSAS (Patient and Observer Assessment Scale).
MATERIAL AND METHODS
Fourty women between 20 and 40 years, who were planning to have primary cesarean delivery, were randomized for skin incision with PEAK Plasma Blade (n:20) and with scalpel (n:20) were blinded to their group allocation. At six months, the cosmetic outcome of the cesarean scar was assessed using the POSAS. Subjective scar rating was performed using the patient component of the POSAS. Objective scar assessment was performed by an observer dermatologist blinded to the patient's group allocation.
RESULTS
The observer scores (p = 0,003), patient scores (p = 0,001) and the total scores (p = 0,001) of the POSAS scale were significantly lower in favor of the Peak Plasma Blade group with respect to the scalpel group.
CONCLUSION
The PEAK Plasma Blade has superior cosmetic outcome compared to traditional scalpel skin incision at cesarean section.
目的
使用患者和观察者评估量表（POSAS）比较PEAK等离子刀与传统手术刀在初次剖宫产患者中的美容效果。
材料与方法
40名年龄在20至40岁之间、计划进行初次剖宫产的女性被随机分为两组，分别使用PEAK等离子刀（n = 20）和手术刀（n = 20）进行皮肤切口，她们对分组情况不知情。在术后六个月，使用POSAS评估剖宫产疤痕的美容效果。主观疤痕评分采用POSAS中的患者部分进行。客观疤痕评估由一位对患者分组情况不知情的皮肤科医生进行。
结果
与手术刀组相比，POSAS量表的观察者评分（p = 0.003）、患者评分（p = 0.001）和总分（p = 0.001）在PEAK等离子刀组中显著更低。
结论
在剖宫产中，与传统手术刀皮肤切口相比，PEAK等离子刀具有更好的美容效果。
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