Heidenreich W, Brüggenjürgen K
Frauenklinik des Allgemeinen Krankenhauses Celle.
Zentralbl Gynakol. 1995;117(1):40-4.
125 caesarean sections were performed at the Department of Obstetrics and Gynecology, Allgemeines Krankenhaus Celle, during the last 6 months of 1991. The caesarean section rate was 13.4% (930 deliveries in that period).--For closure of the uterotomy a two-layer suture was applied (62 patients) as well as a one-layer suture, the modified Sarafoff suture (63 patients). Both techniques were used alternatively. We compared intraoperative and postoperative courses of the two groups of patients in a prospective study. Between the 8th and 10th day after surgery an ultrasonic examination of the scar was performed. The data in both groups did not show any significant difference, except that the scar in the one-layer group was thinner.--So, our results did not support an advantage of the one-layer suture as compared to the two-layer technique.
1991年最后6个月期间，策勒综合医院妇产科共进行了125例剖宫产手术。剖宫产率为13.4%（该时期分娩总数为930例）。子宫切口缝合采用双层缝合（62例患者）以及单层缝合即改良萨拉福夫缝合（63例患者）。两种技术交替使用。我们在一项前瞻性研究中比较了两组患者的术中和术后过程。术后第8天至第10天对瘢痕进行了超声检查。两组数据除单层缝合组的瘢痕较薄外，未显示出任何显著差异。因此，我们的结果并不支持单层缝合相较于双层缝合技术具有优势这一观点。
