Ellis H, Coleridge-Smith P D, Joyce A D
Postgrad Med J. 1984 Jun;60(704):407-10. doi: 10.1136/pgmj.60.704.407.
Two-hundred and nine patients were entered into a prospective, randomized trial in order to determine whether a vertical or transverse abdominal incision is the more satisfactory in producing sound wounds. Ninety-six patients were randomized between paramedian and transverse incisions, and followed up for at least 1 year. No significant difference in the incidence of wound failure could be shown between 46 paramedian and 50 transverse incisions. Those patients who were considered to require a vertical incision were randomized between median and paramedian incisions. No significant difference in wound failure rates between 39 median and 40 paramedian incisions could be demonstrated. No advantage or disadvantage of a transverse over a vertical abdominal incision or of a paramedian over a median incision could be shown in this study.
209名患者参与了一项前瞻性随机试验，以确定腹部纵切口或横切口在产生良好愈合伤口方面哪种更令人满意。96名患者被随机分配接受旁正中切口和横切口手术，并随访至少1年。46例旁正中切口和50例横切口之间的伤口愈合失败发生率无显著差异。那些被认为需要纵切口的患者被随机分配接受正中切口和旁正中切口手术。39例正中切口和40例旁正中切口之间的伤口愈合失败率无显著差异。本研究未显示腹部横切口优于纵切口或旁正中切口优于正中切口的情况。
