Dietl J, Dannecker G, Goretzki K, Hirsch H A
Universitäts-Frauenklinik Tübingen.
Geburtshilfe Frauenheilkd. 1988 Jan;48(1):13-5. doi: 10.1055/s-2008-1035687.
Little is known about the comparative safety of the isthmocorporal versus the low transverse uterine incision for Caesarean delivery of the very low birthweight infant. To address this question, the fetal outcome of 59 deliveries by isthmocorporal incision and 76 by low transverse incision were analysed. The incidences of a 5-min-Apgar score of 6 or lower and UA-pH were not significantly different. No correlation was evident between early intraventricular hemorrhage and type of incision. The number of neonatal deaths weighing less than 1000 g associated with vertical incision (27%) was lower than that associated with the low transverse incision (47%). Nevertheless the difference was not statistically significant. The decision for the type of incision should be made intraoperatively by an experienced surgeon. This factor is probably more important than the choice of a particular incision.
关于极低出生体重儿剖宫产时峡部体部切口与低位横切口的相对安全性，人们了解甚少。为解决这一问题，分析了59例经峡部体部切口分娩和76例经低位横切口分娩的胎儿结局。5分钟阿氏评分6分及以下和脐动脉血pH值的发生率无显著差异。早期脑室内出血与切口类型之间无明显相关性。与纵切口相关的体重小于1000g的新生儿死亡数（27%）低于与低位横切口相关的死亡数（47%）。然而，差异无统计学意义。切口类型的决定应由经验丰富的外科医生在术中做出。这一因素可能比特定切口的选择更为重要。
