ABDOMINAL INCISIONS - VERTICAL OR TRANSVERSE
ABDOMINAL INCISIONS - VERTICAL OR TRANSVERSE
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DOI：
10.1136/pgmj.60.704.407
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发表时间：
1984-01-01
影响因子：
5.1
通讯作者：
JOYCE, AD
中科院分区：
文献类型：
--
作者：
ELLIS, H;COLERIDGESMITH, PD;JOYCE, AD
患者（209例）进入一项前瞻性随机试验，以确定垂直或横向腹部切口在产生良好伤口方面是否更令人满意。96例患者随机分为旁正中切口和横切口，随访至少1年。46个旁正中切口和50个横切口的伤口失败发生率无显著差异。那些被认为需要垂直切口的患者被随机分为正中切口和旁正中切口。39个正中切口和40个旁正中切口的伤口失败率无显著差异。在本研究中，腹部横切口与垂直切口相比或旁正中切口与正中切口相比没有优势或劣势。
Patients (209) were entered into a prospective, randomized trial to determine whether a vertical or transverse abdominal incision is the more satisfactory in producing sound wounds. Ninety-six patients were randomized between paramedian and transverse incisions, and followed up for at least 1 yr. No significant difference in the incidence of wound failure was shown between 46 paramedian and 50 transverse incisions. Those patients who were considered to require a vertical incision were randomized between median and paramedian incisions. No significant difference in wound failure rates between 39 median and 40 paramedian incisions was demonstrated. No advantage or disadvantage of a transverse over a vertical abdominal incision or of a paramedian over a median incision was shown in this study.