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甘油浸渍铬制肠线与未处理铬制肠线修复会阴创伤的随机对照研究

A randomized comparison of glycerol-impregnated chromic catgut with untreated chromic catgut for the repair of perineal trauma.

作者信息

Spencer J A, Grant A, Elbourne D, Garcia J, Sleep J

出版信息

Br J Obstet Gynaecol. 1986 May;93(5):426-30.

PMID:3518787
Abstract

Glycerol-impregnated chromic catgut and untreated chromic catgut were compared in a randomized controlled trial involving 737 consecutive women who required repair of perineal trauma following spontaneous vaginal delivery. Medical staff preference was equally divided between the two materials. More untreated chromic catgut sutures required removal both by 10 days and by 3 months postpartum. Women whose perineal trauma was repaired with glycerol-impregnated chromic catgut were 10% more likely to have perineal pain at 10 days and 33% more likely to suffer from dyspareunia in the 3 months following delivery. The high rates of maternal morbidity associated with glycerol-impregnated chromic catgut appear to preclude its use for perineal repair.

摘要

在一项随机对照试验中,对甘油浸渍铬制肠线和未处理的铬制肠线进行了比较,该试验涉及737名连续的经阴道自然分娩后需要会阴创伤修复的女性。医务人员对这两种材料的偏好平分秋色。到产后10天和3个月时,更多未处理的铬制肠线缝合需要拆除。用甘油浸渍铬制肠线修复会阴创伤的女性在产后10天出现会阴疼痛的可能性高10%,在产后3个月出现性交困难的可能性高33%。与甘油浸渍铬制肠线相关的高产妇发病率似乎排除了其用于会阴修复的可能性。

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