Antonelli E, Morales M A, Dumps P, Boulvain M, Weil A
Unité de Développement en Obstétrique, Department of Obstetrics and Gynaecology, Geneva University Hospitals, Geneva, Switzerland.
Ultrasound Obstet Gynecol. 2004 Apr;23(4):388-92. doi: 10.1002/uog.1023.
To evaluate the clinical significance of sonographically detected fluid collections following Cesarean section and hysterectomy, and to identify risk factors associated with their formation.
This was a prospective study including 280 women, 145 of whom had undergone a Cesarean section and 135 of whom had undergone abdominal or vaginal hysterectomy. Ultrasound examinations were carried out on all women on day 4 after surgery to assess the presence of abdominal wall or pelvic fluid collections. The sonographers were unaware of the clinical course before the examination and were not involved in any clinical decision-making. Ultrasound findings were correlated with clinical data and postoperative morbidity.
A fluid collection was found in 69 (48%) women after Cesarean section, and in 59 (44%) women who had undergone hysterectomy. No risk factors for the development of fluid collections after Cesarean section or hysterectomy were identified. The risk of developing febrile morbidity was not related to the presence, location or size of fluid collections.
Postoperative fluid collections are common after Cesarean section and hysterectomy. As fluid collections detected by sonography were not associated with postoperative morbidity, this finding is unlikely to be useful in the workup for postoperative fever.
评估剖宫产和子宫切除术后超声检测到的液体积聚的临床意义，并确定与其形成相关的危险因素。
这是一项前瞻性研究，纳入280名女性，其中145例行剖宫产，135例行腹部或阴道子宫切除术。所有女性均在术后第4天接受超声检查，以评估腹壁或盆腔是否存在液体积聚。超声检查人员在检查前不知道临床过程，也不参与任何临床决策。超声检查结果与临床数据及术后发病率相关。
剖宫产术后69名（48%）女性发现有液体积聚，子宫切除术后59名（44%）女性发现有液体积聚。未发现剖宫产或子宫切除术后液体积聚形成的危险因素。发热性疾病的发生风险与液体积聚的存在、位置或大小无关。
剖宫产和子宫切除术后，术后液体积聚很常见。由于超声检测到的液体积聚与术后发病率无关，这一发现不太可能有助于术后发热的检查。
