手指辅助牵张技术在剖宫产中的应用

作     者：Oh M.J. Kim T. Y.K.Park 朱亮 

作者机构：Department of Obstetrics and Gynecology Korea University School of Medicine Guro Hospital Guro-Dong Guro-Gu Seoul 152- 703 South Korea 

出 版 物：《世界核心医学期刊文摘（妇产科学分册）》 (Core Journal in Obstetrics/Gynecology)

年 卷 期：2006年第2卷第6期

页      面：59-60页

学科分类：1002[医学-临床医学] 100211[医学-妇产科学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：剖宫产手术 牵张 手指 手术方法 围手术期 病历记录 妇女 回顾性 

摘      要：Objective: To compare the perioperative outcomes of two cesarean section methods, the finger- assisted stretching technique (FAST), based on a modified Joel- Cohen method, with the traditional technique. Methods: A retrospective review of the records of 416 women who underwent cesarean sections at Guro Hospital, Seoul, Korea, between May 1993 and December 2001 was performed. Of the 416 women, 283 underwent cesarean sections with FAST and 133 with the traditional technique. Results: Operative time was significantly shorter with FAST (15.3 vs. 42.6 min, P .05), and FAST was associated with lower blood loss (601 vs. 928 mL, P .05) and shorter hospital stay (3.7 vs. 6.5 days, P .05). There were no significant differences in wound infection, voiding difficulty, and postoperative adhesions between the two methods. Conclusion: These results suggest that FAST may be the better technique.