Christensen S, Andersen G, Detlefsen G U, Hansen P K
Odense Universitetshospital, gynaekologisk-obstetrisk afdeling D.
Ugeskr Laeger. 1994 Aug 22;156(34):4829, 4832-3.
Conventional, "open" treatment of episiotomy wound infections was compared to incision, curettage and primary suture under antibiotic cover in a prospective, randomized study. During the period 1.5.1986-31.12.1988 there were 4154 vaginal deliveries with episiotomy, of which 20 (0.48%) became infected. Seventeen of these patients consented to enter the study. Median time for healing was 12 days following suture and 19 days after "open" treatment (not significant). Hospitalization time was the same in the two groups. No re-infections were seen. A need for vaginal plastic repair was found in three of nine of the conventionally treated patients and in none of the patients in the suture group (not significant). It is concluded that treatment of episiotomy wound infections with incision, curettage and primary suture under antibiotic cover is an attractive, safe ad convenient alternative treatment.
在一项前瞻性随机研究中，将传统的“开放”治疗会阴切开术伤口感染与在抗生素覆盖下进行切开、刮宫及一期缝合进行了比较。在1986年5月1日至1988年12月31日期间，有4154例进行了会阴切开术的阴道分娩，其中20例（0.48%）发生感染。这些患者中有17例同意参加该研究。缝合后愈合的中位时间为12天，“开放”治疗后为19天（无显著差异）。两组的住院时间相同。未观察到再次感染。在传统治疗的9例患者中有3例需要进行阴道整形修复，而缝合组患者均无此需求（无显著差异）。得出的结论是，在抗生素覆盖下通过切开、刮宫及一期缝合治疗会阴切开术伤口感染是一种有吸引力、安全且方便的替代治疗方法。
