剖宫产术后腹部伤口裂开
Abdominal wound dehiscence after caesarean section.
作者信息
Mowat J, Bonnar J
出版信息
Br Med J. 1971 May 1;2(5756):256-7. doi: 10.1136/bmj.2.5756.256.
Abstract
In a series of 2,175 patients delivered by caesarean section a dehiscence of the abdominal wound occurred in 50. Wound dehiscence was eight times more common with a vertical incision than with a low transverse incision of the abdominal wall; with the vertical incision the incidence of partial and complete dehisence was 2.94% and with the low transverse incision no complete dehiscence occurred and the incidence of partial dehisence was 0.37%. The increased use of the low transverse incision would greatly reduce the serious complication of wound dehiscence after caesarean section.
摘要
在一系列2175例剖宫产分娩的患者中，有50例发生腹壁伤口裂开。腹壁纵切口时伤口裂开的发生率是低位横切口的8倍；纵切口时部分裂开和完全裂开的发生率为2.94%，低位横切口未发生完全裂开，部分裂开的发生率为0.37%。增加低位横切口的使用将大大降低剖宫产术后伤口裂开这一严重并发症的发生率。
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本文引用的文献
1
Disruption of Abdominal Wounds.腹部伤口破裂
Ann Surg. 1950 Apr;131(4):534-55. doi: 10.1097/00000658-195004000-00007.
2
Wound healing and wound disruption.伤口愈合与伤口裂开。
S Afr Med J. 1967 Apr 1;41(13):323-8.
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