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[剖宫产术中单层子宫缝合术。一项对比研究]

[The single-layer uterine suture in cesarean section. A comparative study].

作者信息

Tischendorf D

出版信息

Geburtshilfe Frauenheilkd. 1987 Feb;47(2):117-20. doi: 10.1055/s-2008-1035789.

DOI:10.1055/s-2008-1035789
PMID:3552857
Abstract

Caesarean section had to be carried out in 297 cases (4.9 per cent) out of 6064 births (infant mortality 0.44 per cent). A comparison between 96 Caesarean sections with a one-layer suture of the myometrium (32 per cent) and 201 Caesarean sections with a two-layer suture (68 per cent) clearly shows less morbidity (19 per cent vs. 37 per cent) in case of a one-layer uterus suture. In those cases the postoperative loss of blood, the involution of the uterus and the healing of the scar are also more favourable. Afebrile courses clearly predominate in one-layer sutures (92 per cent to 76 per cent in two-layer sutures). Most important of all are the ability and experience of the surgeon, not the use of antibiotica.

摘要

在6064例分娩中,有297例(4.9%)不得不进行剖宫产(婴儿死亡率为0.44%)。对96例采用子宫肌层单层缝合的剖宫产(占32%)和201例采用双层缝合的剖宫产(占68%)进行比较,结果清楚地表明,单层子宫缝合的发病率较低(分别为19%和37%)。在这些病例中,术后失血、子宫复旧和瘢痕愈合情况也更有利。单层缝合的无热病程明显占优势(单层缝合为92%,双层缝合为76%)。最重要的是外科医生的能力和经验,而不是抗生素的使用。

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