Winkler M, Ruckhäberle K E, Saul S, Forberg J
Zentralbl Gynakol. 1986;108(17):1039-45.
In this analysis 536 caesarean sections with a single layer uterine suture were compared to 256 sections with two layer closure. Their relations with regard to indications of operative delivery, complications during the puerperium and their courses in subsequent vaginal deliveries were taken into consideration. - The significant lower rate of pyrexia and shorter hospital stay of the patients may be a result of quicker and better healing of the single layer suture. The increased rate of complications in the puerperium is partially due to changes in the registry of dates. Absent disturbances during the placental period and the occurrence of only one uterine rupture, in the course of vaginal delivery in a patient with a previous single layer caesarean section suture, demonstrates the functional sufficiency of this technic.
在本分析中,将536例采用单层子宫缝合的剖宫产与256例采用双层缝合的剖宫产进行了比较。考虑了它们在手术分娩指征、产褥期并发症及其在随后阴道分娩过程中的情况方面的关系。患者发热率显著降低和住院时间缩短可能是单层缝合愈合更快、更好的结果。产褥期并发症发生率增加部分归因于日期记录的变化。在胎盘期无干扰,且在一名既往有单层剖宫产缝合的患者阴道分娩过程中仅发生一例子宫破裂,证明了该技术的功能充足性。