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爱德华多·波罗(1842 - 1902)剖宫产手术技术及其对产科发展的意义。在该方法创立150周年之际

[Surgical technique for cesarean section of Eduardo Porro (1842-1902) and its significance for obstetric development. In the 150th anniversary year of the method's creator].

作者信息

Waszyński E

机构信息

Oddziału Połozniczo-Ginekologicznego Wojewódzkiego Szpitala Zespolonego w Lesznie.

出版信息

Ginekol Pol. 1994 Apr;65(4):196-201.

PMID:7988923
Abstract

It has passed 150th birth anniversary of a great, Italian Obstetrician Eduardo Porro, author of a cesarean section technique consisted of uterine corpus amputation and suturing of the cervix stump into the abdominal wall incision. Eduardo Porro was born in 1842 in Padwa. In 1876, he became the Head of Obstetrics Department in Pawia, and since 1882, the Head of Midwifery School in Milano. He died on May 25th, 1901. That original cesarean section method was introduced by him in 1876. Its main idea was exsection of the uterus, infected at the time of labor. The operation was also performed because of other reasons, such as: wide uterine ruptures, osteomalation, spacions vaginal cicatrization, and uterine atony. In the second part of the 18th century, maternal mortality following so called, classical cesarean section was nearly 100 percent. Introducing the Porro's operative technique decreased maternal mortality to 58%. This method aroused an interest of cesarean section technique improvement at all. The twilight, of the Porro's operation took place in the 1920s as the new method appeared, elaborated by Adolf Kehrer--uterine lower segment transverse incision.

摘要

伟大的意大利产科医生爱德华多·波罗诞辰150周年已过,他是一种剖宫产技术的发明者,该技术包括子宫体切除术以及将宫颈残端缝合到腹壁切口中。爱德华多·波罗于1842年出生在帕多瓦。1876年,他成为帕维亚产科主任,自1882年起,担任米兰助产学校校长。他于1901年5月25日去世。他在1876年引入了这种原始的剖宫产方法。其主要理念是切除分娩时感染的子宫。该手术也因其他原因而进行,例如:广泛的子宫破裂、骨质软化症、阴道瘢痕宽大、子宫收缩乏力。在18世纪后半叶,所谓经典剖宫产术后的产妇死亡率几乎为100%。引入波罗的手术技术使产妇死亡率降至58%。这种方法引起了人们对剖宫产技术改进的关注。随着阿道夫·凯hrer提出的新方法——子宫下段横切口的出现,波罗手术的衰落发生在20世纪20年代。

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