刺和它们在减轻剖腹产后炎症反应中的潜在作用:单中心体验
Kohei Kitada1, Yasushi Kurihara1, Mie Tahara1
1Obstetrics and Gynecology, Osaka Metropolitan University Graduate School of Medicine, Osaka, JPN.
Cureus
|September 26, 2023
概括
没有节点的刺 sutures 显示出在剖腹产 (CD) 关闭方面有希望的短期结果. 这项研究发现,在刺组中,手术后白细胞数量较低,这表明没有重大并发症的潜在益处.
科学领域:
- 产科和妇科 产科和妇科
- 手术创新 在外科创新.
- 伤口关闭技术 伤口关闭技术
背景情况:
- 剖腹产 (CD) 是一种常见的外科手术程序.
- 传统的材料可能会导致并发症.
- 手术材料的进步,如刺,旨在改善结果.
研究的目的:
- 评估在剖腹产中使用无节点刺 sutures 关节膜和子皮膜关闭的短期结果.
- 为了比较刺和无刺组之间的结果.
主要方法:
- 追溯队列研究,比较两组剖腹产患者.
- 刺刺组:使用0 Stratafix® Spiral PDS Plus的子宫关闭和使用4-0 Stratafix® Spiral PDS Plus的子皮关闭.
- 没有刺刺的组:用0-Monocryl®进行子宫封闭,用3-0 Opepolyx®进行子皮膜封闭.
主要成果:
- 刺组在手术后的第一天呈现出统计学上显著的较低白细胞数量 (p=0.01).
- 在刺和无刺组之间没有观察到其他短期结果的显著差异.
- 刺被发现是安全的,用于剖腹产,包括高风险怀孕.
结论:
- 无节点的刺是剖腹产期间肌肉膜和子皮膜关闭的可行选择.
- 在CD中使用刺与手术后炎症标志物减少有关.
- 刺可以安全地用于剖腹产的各种手术指示,而不会产生重大并发症.
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