Blanco J D, Gibbs R S
Obstet Gynecol. 1980 Feb;55(2):167-9.
A study was undertaken to evaluate the postoperative morbidity of classical cesarean section (CCS). Eighty-nine such procedures, performed between 1970 and 1977, were reviewed. All cases in which prophylactic antibiotics were used were excluded from the study. Forty-seven patients (53%) developed standard morbidity, and 46 patients (52%) had a clinical diagnosis of infection. Of these, 30 patients (34%) had endoparametritis, 5 patients (6%) had abdominal wound infection, and 11 patients (12%) had urinary tract or pulmonary infection. Two patients (2%) had pelvic thrombophlebitis, but no patient was found to have an abscess or pelvic hematoma. In comparison with matched patients who had a low cervical transverse cesarean section (LCTCS) performed during the same time, patients with a CCS had a comparable incidence of standard morbidity and operative site infection. These infections responded promptly to vigorous antibiotic therapy with no apparent increased risk of amjor postoperative complications in the population studied.
开展了一项研究以评估经典剖宫产术（CCS）的术后发病率。回顾了1970年至1977年间进行的89例此类手术。所有使用预防性抗生素的病例均被排除在研究之外。47例患者（53%）出现标准发病率，46例患者（52%）有感染的临床诊断。其中，30例患者（34%）发生子宫内膜炎，5例患者（6%）发生腹部伤口感染，11例患者（12%）发生泌尿系统或肺部感染。2例患者（2%）发生盆腔血栓性静脉炎，但未发现有患者发生脓肿或盆腔血肿。与同期进行低位子宫横切口剖宫产术（LCTCS）的匹配患者相比，CCS患者的标准发病率和手术部位感染发生率相当。这些感染对积极的抗生素治疗反应迅速，在所研究的人群中术后主要并发症的风险没有明显增加。
