Buchan P C, Nicholls J A
J R Coll Gen Pract. 1980 May;30(214):297-300.
Episiotomy is a very common operation but little is known of its short-term or long-term morbidity.A prospective study was designed to record postpartum perineal discomfort and to investigate the presence and persistence of dyspareunia following episiotomy in 140 primigravidae. A comparison was made between those whose perineal skin was sutured with a subcuticular polyglycolic acid (;Dexon') stitch and those sutured with interrupted black silk stitches.Patients sutured with subcuticular ;Dexon' had significantly less perineal discomfort on the third, fourth, and fifth postpartum days. Patients who had epidural analgesia in labour had significantly more pain during the first five postpartum days irrespective of the suture material used.The timing of first coitus after delivery did not influence the presence or persistence of dyspareunia. Dyspareunia was commoner and lasted longer in patients sutured with ;Dexon' and it was also commoner in older primigravidae irrespective of the suture technique.
会阴切开术是一种非常常见的手术，但对其短期或长期发病率却知之甚少。一项前瞻性研究旨在记录产后会阴不适情况，并调查140名初产妇会阴切开术后性交困难的存在及持续情况。对采用皮下聚乙醇酸（“Dexon”）缝线缝合会阴皮肤的患者与采用间断黑色丝线缝合的患者进行了比较。采用皮下“Dexon”缝线缝合的患者在产后第3、4和5天的会阴不适明显较少。分娩时接受硬膜外镇痛的患者在产后的前五天疼痛明显更严重，无论使用何种缝合材料。产后首次性交的时间并不影响性交困难的存在或持续情况。采用“Dexon”缝线缝合的患者性交困难更常见且持续时间更长，并且在年龄较大的初产妇中也更常见，无论缝合技术如何。
