剖宫产子宫肌层不同缝合方式对妊娠结局影响的Meta分析

发布时间：2018-06-24 01:40

本文选题：剖宫产 + 子宫缝合　；参考：《现代妇产科进展》2017年11期

【摘要】：目的:采用Meta分析探讨剖宫产子宫肌层单层缝合与双层缝合对妊娠结局的影响,为临床手术提供一定理论依据。方法:按严格的纳入和排除标准,检索万方、CNKI、Pub Med、Cochrane Library、Embase、Cisma等数据库,对纳入的相关随机对照研究进行质量评价,采用Rev Man 5.3软件进行数据分析。结果:纳入文献18篇,共15370例。与双层缝合比较,单层缝合的平均失血量少(MD=-62.78,95%CI为-113.24~12.32,P=0.01),住院天数短(MD=-0.56,95%CI为-0.84~-0.27,P=0.0001),但术后6月子宫残余肌层薄(MD=-1.52,95%CI为-2.89~-0.16,P=0.03)、愈合率低(MD=-1.52,95%CI为-2.89~-0.16,P=0.03)。结论:剖宫产子宫肌层单层缝合与双层缝合术比较,单层缝合的失血量少、住院天数短,但在术后6月残余肌层厚度及子宫肌层愈合率方面,双层缝合更有优势。
[Abstract]:Objective: to study the effect of single layer suture and double suture of myometrium in cesarean section on pregnancy outcome by meta-analysis, and to provide some theoretical basis for clinical operation. Methods: according to the strict criteria of inclusion and exclusion, the database such as Pub Medchrane Library Embase Cisma and so on were searched, and the quality of the related randomized controlled studies was evaluated. The data were analyzed by Rev Man 5.3 software. Results: 15370 cases were included in 18 articles. Compared with double-layer suture, the average blood loss of monolayer suture was less (MD-62.7895 CI = -113.24 卤12.32 P0.01), and the length of hospitalization was shorter (MD-0.56T95 CI was -0.84mg-0.27p0.0001), but the uterine residual muscle layer was thin (MD-1.52CI-0.16P0.03), and the healing rate was low (MD-1.5295CI = -2.89- 0.16P0.03). Conclusion: compared with double-layer suture, monolayer suture in cesarean section has less blood loss and shorter hospitalization days, but double-layer suture is superior in thickness of residual myometrium and healing rate of myometrium in 6 months after cesarean section.
【作者单位】：兰州大学第二临床医学院;兰州大学第二医院妇产科;
【分类号】：R719.8

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