Miliaras S, Beveridge E, Campbell C, Sunderland G, MacDonald A
Department of Surgery, Southern General Hospital, Glasgow.
Br J Radiol. 2000 Oct;73(874):1098-9. doi: 10.1259/bjr.73.874.11271903.
The aim of the study was to assess the incidence and site of intraperitoneal fluid collections following uncomplicated colorectal surgery and to identify factors relating to the presence of such collections. 38 patients (22 males) with a mean age of 67 years (range 38-85 years) undergoing uncomplicated colorectal procedures were studied prospectively. Patients underwent abdominal and pelvic ultrasound on Day 3 and Day 7 following surgery. The number, site and volume of collections were recorded. Ultrasound-detected fluid collections were present in 26% on Day 3 and 25% on Day 7 following laparotomy. The presence of a collection was not related to the amount of residual volume after peritoneal lavage with normal saline prior to operative closure, to intraoperative blood loss or to the presence of drains. The right upper quadrant was the commonest site of intraperitoneal collections. In the absence of additional clinical signs, the presence of such collections is not an indication for intervention.
本研究的目的是评估单纯结直肠手术后腹腔内积液的发生率和部位，并确定与此类积液存在相关的因素。对38例（22例男性）平均年龄67岁（范围38 - 85岁）接受单纯结直肠手术的患者进行了前瞻性研究。患者在术后第3天和第7天接受腹部和盆腔超声检查。记录积液的数量、部位和体积。剖腹手术后第3天，26%的患者超声检测到有积液，第7天为25%。积液的存在与手术关闭前用生理盐水进行腹腔灌洗后的残留量、术中失血量或引流管的存在无关。右上象限是腹腔积液最常见的部位。在没有其他临床体征的情况下，此类积液的存在并非干预的指征。
