Hershey D W, Quilligan E J
Obstet Gynecol. 1978 Aug;52(2):189-92.
A series of 386 consecutive cesarean sections is presented in which postpartum uteri were randomly exteriorized or left in situ for suturing the hysterotomy incision in an attempt to evaluate differences in morbidity. Both groups were shown to be similar with respect to overall morbidity, although a high-morbidity subgroup exhibiting increased blood loss was defined and included significantly more patients in the noneventrated group. Emesis occurred in 4 (3.4%) patients in the eventrated group and was directly related to fundal traction under regional anesthesia. Although a larger prospective series is needed to evaluate more serious morbidity, the data presented suggest that uterine eventration at cesarean section is not to be condemned.
本文报告了连续386例剖宫产手术，术中随机将产后子宫外置或留在原位以缝合子宫切口，旨在评估发病率的差异。尽管定义了一个失血增加的高发病率亚组，且该亚组在未外置子宫组中的患者明显更多，但两组在总体发病率方面相似。外置子宫组有4例（3.4%）患者发生呕吐，这与区域麻醉下的宫底牵引直接相关。尽管需要更大规模的前瞻性系列研究来评估更严重的发病率，但所呈现的数据表明，剖宫产时子宫外置并非不可取。
