肥胖患者剖宫产皮肤切口类型相关的孕产妇发病率：一项系统综述
Maternal morbidity associated with skin incision type at cesarean delivery in obese patients: a systematic review.
作者信息
Zoorob Dani, Zarudskaya Oxana, Van Hook James, Moussa Hind N
机构信息
Department of Obstetrics & Gynecology, University of Toledo College of Medicine & Life Sciences, Toledo, OH 43606, USA.
Division of Maternal-Fetal Medicine, The University of Cincinnati, Cincinnati, OH 45267, USA.
出版信息
Future Sci OA. 2020 Dec 18;7(3):FSO669. doi: 10.2144/fsoa-2020-0160.
AIM
To describe the relationship between cesarean skin incision type and postoperative wound complications (WCs) in obese pregnant patients.
MATERIALS & METHODS: MEDLINE (PubMed and OVID), Embase, Scopus, Web of Science Core Collection, Cochrane Library and ClinicalTrials.gov databases were used for publication search. Selection criteria consisted of articles studying pregnant patients with BMI ≥30 kg/m undergoing cesarean delivery and assessing the effect of skin incision type on postoperative maternal outcomes.
RESULTS
Ten publications met criteria for a systematic review of a total of 2946 patients. The transverse skin incision was associated with a lower rate of WC compared with the vertical skin incision. The pooled risk ratio for WCs was 0.47 (95% CI: 0.37-0.58; p < 0.00001).
CONCLUSION
Transverse skin incision may be preferable to vertical skin incision at cesarean delivery in pregnant patients with obesity as it may be associated with a lower rate of WCs. CRD42020151106.
目的
描述肥胖孕妇剖宫产皮肤切口类型与术后伤口并发症（WCs）之间的关系。
材料与方法
使用MEDLINE（PubMed和OVID）、Embase、Scopus、科学引文索引核心合集、考克兰图书馆和ClinicalTrials.gov数据库进行文献检索。选择标准包括研究体重指数（BMI）≥30kg/m²的孕妇剖宫产并评估皮肤切口类型对术后产妇结局影响的文章。
结果
10篇出版物符合系统评价标准，共计2946例患者。与纵行皮肤切口相比，横行皮肤切口的WC发生率较低。WC的合并风险比为0.47（95%置信区间：0.37 - 0.58；p < 0.00001）。
结论
对于肥胖孕妇剖宫产，横行皮肤切口可能优于纵行皮肤切口，因为其可能与较低的WC发生率相关。CRD42020151106。
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