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[改良萨拉福缝合法用于剖宫产子宫切口单层缝合:一项前瞻性研究]

[Modified Sarafoff suture for single layer closure of uterotomy in cesarean section. A prospective study].

作者信息

Heidenreich W, Brüggenjürgen K

机构信息

Frauenklinik des Allgemeinen Krankenhauses Celle.

出版信息

Zentralbl Gynakol. 1995;117(1):40-4.

PMID:7879462
Abstract

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.

摘要

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。

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[Modified Sarafoff suture for single layer closure of uterotomy in cesarean section. A prospective study].[改良萨拉福缝合法用于剖宫产子宫切口单层缝合:一项前瞻性研究]
Zentralbl Gynakol. 1995;117(1):40-4.
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[A modified Sarafoff suture for closure of the uterine wound in Cesarean section].[一种改良的萨拉福缝合术用于剖宫产术中子宫伤口的闭合]
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Longitudinal transvaginal ultrasound evaluation of cesarean scar niche incidence and depth in the first two years after single- or double-layer uterotomy closure: a randomized controlled trial.单层或双层子宫切口缝合术后头两年剖宫产瘢痕憩室发生率及深度的经阴道超声纵向评估:一项随机对照试验
Acta Obstet Gynecol Scand. 2017 Dec;96(12):1484-1489. doi: 10.1111/aogs.13213. Epub 2017 Sep 21.
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[The single-layer uterine suture in cesarean section. A comparative study].[剖宫产术中单层子宫缝合术。一项对比研究]
Geburtshilfe Frauenheilkd. 1987 Feb;47(2):117-20. doi: 10.1055/s-2008-1035789.
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Hydrosonographic assessment of the effects of 2 different suturing techniques on healing of the uterine scar after cesarean delivery.超声检查评估两种不同缝合技术对剖宫产术后子宫瘢痕愈合的影响。
Int J Gynaecol Obstet. 2014 Jun;125(3):219-22. doi: 10.1016/j.ijgo.2013.11.013. Epub 2014 Feb 28.
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[Clinical experiences with a single layer uterine suture in cesarean section].剖宫产术中单层子宫缝合的临床经验
Zentralbl Gynakol. 1986;108(17):1039-45.
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Ultrasonographic and hysteroscopic outcomes of uterine scar healing after cesarean section: comparison of two types of single-layer suture.剖宫产术后子宫瘢痕愈合的超声及宫腔镜检查结果:两种单层缝合方式的比较
J Obstet Gynaecol Res. 2012 Nov;38(11):1302-7. doi: 10.1111/j.1447-0756.2012.01872.x. Epub 2012 May 21.
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Ultrasound evaluation of the uterine scar after cesarean delivery: a randomized controlled trial of one- and two-layer closure.剖宫产术后子宫瘢痕的超声评估:单层与双层缝合的随机对照试验
Obstet Gynecol. 2007 Oct;110(4):808-13. doi: 10.1097/01.AOG.0000284628.29796.80.
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Ultrasound cesarean scar assessment one year postpartum in relation to one- or two-layer uterine suture closure.超声评估剖宫产术后 1 年子宫疤痕与单层或双层缝合关闭的关系。
Acta Obstet Gynecol Scand. 2020 Jan;99(1):69-78. doi: 10.1111/aogs.13714. Epub 2019 Sep 26.

引用本文的文献

1
Surgical techniques for uterine incision and uterine closure at the time of caesarean section.剖宫产时子宫切口及子宫缝合的手术技术。
Cochrane Database Syst Rev. 2014 Jul 22;2014(7):CD004732. doi: 10.1002/14651858.CD004732.pub3.
2
The CORONIS Trial. International study of caesarean section surgical techniques: a randomised fractional, factorial trial.CORONIS试验。剖宫产手术技术的国际研究:一项随机分数析因试验。
BMC Pregnancy Childbirth. 2007 Oct 22;7:24. doi: 10.1186/1471-2393-7-24.