PDF(Pubmed)
Abstract：
UNASSIGNED: To compare the short-term results of classic single-layer uterine closure and double-layer purse-string uterine closure (Turan technique) techniques in cesarean section in terms of the incidence of ischiocele formation.
UNASSIGNED: This was a prospective randomized controlled trial study. Participants undergoing first-time cesarean delivery were randomized into two groups. Fifty-eight participants were included in the double-layered uterine closure group (study group), while 53 participants were randomized into the classical single-layered uterine closure group (control group). For comparison of isthmocele formation, transvaginal ultrasound examination was planned in all patients 6 weeks after surgery. The operation data,the formation of isthmocele, its dimensions and volume were recorded.
UNASSIGNED: A total of 111 women were included in the study. The incidence of ischiocele at 6 weeks after birth was not significantly different between the groups (p=0.128). Isthmosel was detected in 20.8% of single-layer closures, and this rate was determined as 10.3% in the purse technique. In the Kerr incision made during surgery, the uterine incision size did not differ in either group, but the uterine incision length after suturing was significantly smaller in the purse technique compared with the other group (p<0.001).
UNASSIGNED: The incidence of ischiocele formation after cesarean section and the depth of the ischiocele was independent of the uterotomy closure technique.
UNASSIGNED: This was a prospective randomized controlled trial study. Participants undergoing first-time cesarean delivery were randomized into two groups. Fifty-eight participants were included in the double-layered uterine closure group (study group), while 53 participants were randomized into the classical single-layered uterine closure group (control group). For comparison of isthmocele formation, transvaginal ultrasound examination was planned in all patients 6 weeks after surgery. The operation data,the formation of isthmocele, its dimensions and volume were recorded.
UNASSIGNED: A total of 111 women were included in the study. The incidence of ischiocele at 6 weeks after birth was not significantly different between the groups (p=0.128). Isthmosel was detected in 20.8% of single-layer closures, and this rate was determined as 10.3% in the purse technique. In the Kerr incision made during surgery, the uterine incision size did not differ in either group, but the uterine incision length after suturing was significantly smaller in the purse technique compared with the other group (p<0.001).
UNASSIGNED: The incidence of ischiocele formation after cesarean section and the depth of the ischiocele was independent of the uterotomy closure technique.
摘要：
■比较经典的单层子宫闭合术和双层荷包子宫闭合术（Turan技术）技术在剖宫产术中的短期结果，以坐骨膨出形成的发生率。
■这是一项前瞻性随机对照试验研究。首次剖宫产的参与者被随机分为两组。58名参与者被纳入双层子宫封闭组（研究组），53名参与者被随机分为经典单层子宫闭合术组（对照组）。为了比较峡部膨出形成，所有患者均计划在术后6周进行经阴道超声检查。操作数据，峡部膨出的形成，记录其尺寸和体积。
■共有111名女性被纳入研究。出生后6周坐骨囊肿的发生率在两组之间没有显着差异（p=0.128）。在20.8%的单层封闭中检测到Isthmosel，在钱包技术中，这一比率被确定为10.3%。在手术期间做的克尔切口中，两组子宫切口大小无差异,但与其他组相比，荷包技术缝合后的子宫切口长度明显较小（p<0.001）。
■剖宫产术后坐骨膨出的发生率和坐骨膨出的深度与子宫切开术的闭合技术无关。
■这是一项前瞻性随机对照试验研究。首次剖宫产的参与者被随机分为两组。58名参与者被纳入双层子宫封闭组（研究组），53名参与者被随机分为经典单层子宫闭合术组（对照组）。为了比较峡部膨出形成，所有患者均计划在术后6周进行经阴道超声检查。操作数据，峡部膨出的形成，记录其尺寸和体积。
■共有111名女性被纳入研究。出生后6周坐骨囊肿的发生率在两组之间没有显着差异（p=0.128）。在20.8%的单层封闭中检测到Isthmosel，在钱包技术中，这一比率被确定为10.3%。在手术期间做的克尔切口中，两组子宫切口大小无差异,但与其他组相比，荷包技术缝合后的子宫切口长度明显较小（p<0.001）。
■剖宫产术后坐骨膨出的发生率和坐骨膨出的深度与子宫切开术的闭合技术无关。
