Beresford J M, Moher D
Ottawa Civic Hospital, Ontario.
Surg Gynecol Obstet. 1993 Jun;176(6):555-8.
Forty-eight abdominal hysterectomies performed using Polysorb (United States Surgical Corporation) [corrected] absorbable staples were compared prospectively with 46 hysterectomies performed using a regular suture technique. The two groups were demographically similar and it was found that the time of operation (p = 0.001) and the amount of blood loss at operation was significantly reduced (p = 0.03). The incidence of granulations at the vaginal vault at six weeks was significantly reduced (p = 0.001) and return to activity (p = 0.02) and work (p = 0.01) were also significantly reduced for the patients who had a hysterectomy performed using Polysorb staples. There was no statistical difference in morbidity, complications, use of analgesics and period of hospitalization. The continued use of absorbable staples in abdominal hysterectomy is supported, related to the advantages that were statistically significant.
对48例使用聚乙醇酸可吸收吻合钉（美国外科公司）[已修正]进行的腹式子宫切除术与46例使用常规缝合技术进行的子宫切除术进行了前瞻性比较。两组在人口统计学上相似，结果发现手术时间（p = 0.001）和术中失血量显著减少（p = 0.03）。使用聚乙醇酸吻合钉进行子宫切除术的患者，六周时阴道穹窿肉芽组织的发生率显著降低（p = 0.001），恢复活动（p = 0.02）和恢复工作（p = 0.01）的时间也显著缩短。在发病率、并发症、镇痛药使用和住院时间方面无统计学差异。鉴于具有统计学意义的优势，支持在腹式子宫切除术中继续使用可吸收吻合钉。
