库斯特纳（Küstner）切口与耻骨上横切口（Pfannenstiel切口）术后并发症的比较。

Comparison of postoperative complications after Küstner and Pfannenstiel transverse suprapubic incisions.

作者信息

Vercellini P, Cortesi I, Oldani S, Bologna E, Perotti D, Crosignani P G

机构信息

Clinica Ostetrica e Ginecologica Luigi Mangiagalli, Università di Milano, Italy.

出版信息

Arch Gynecol Obstet. 1996;258(4):201-6. doi: 10.1007/s004040050124.

DOI:10.1007/s004040050124

PMID:8844137

Abstract

We compared postoperative morbidity with the Küstner (n = 53) and Pfannenstiel (n = 131) incisions in a consecutive series of women undergoing surgery for benign gynecological conditions. The incidence of febrile morbidity (15.1% vs 23.7%, chi 2(1) = 1.19, P = 0.28) and wound infection (5.7% vs 9.2%, P = 0.56, Fisher's exact test) were higher in the Pfannenstiel then in the Küstner group, but neither difference was statistically significant. One suprafascial hematoma was observed after a Küstner incison compared with eight subfascial hematomas after a Pfannenstiel incision (1.9% vs 6.1%, P = 0.45, Fisher's exact test). The postoperative hospital stay was statistically significantly lower in the Küstner than in the Pfannenstiel group (6.3 +/- 1.4 vs 7.1 +/- 1.2 days, P < 0.01, Student's t test). The Küstner incision warrants further evaluation and usage.

摘要

我们在一系列因良性妇科疾病接受手术的连续女性病例中，比较了采用库斯特纳切口（n = 53）和耻骨联合上横切口（n = 131）后的术后发病率。耻骨联合上横切口组的发热发病率（15.1% 对 23.7%，χ2(1)=1.19，P = 0.28）和伤口感染率（5.7% 对 9.2%，P = 0.56，Fisher精确检验）高于库斯特纳组，但差异均无统计学意义。库斯特纳切口后观察到1例筋膜上血肿，而耻骨联合上横切口后有8例筋膜下血肿（1.9% 对 6.1%，P = 0.45，Fisher精确检验）。库斯特纳组的术后住院时间在统计学上显著低于耻骨联合上横切口组（6.3±1.4天对7.1±1.2天，P < 0.01，Student t检验）。库斯特纳切口值得进一步评估和应用。