Wright N B, Williamson V C
Department of Radiology, Countess of Chester Hospital, Cheshire, UK.
Br J Radiol. 1994 May;67(797):429-30. doi: 10.1259/0007-1285-67-797-429.
This study was set up to find the incidence of fluid collections in asymptomatic patients following laparoscopic cholecystectomy. Patients had an ultrasound scan on the first postoperative day and approximately 1 week later. Seven of 25 patients (28%) had a total of nine collections on the first postoperative day. Five had resolved by the follow-up scan and two patients developed new collections by the 1 week scan. None of the patients had significant postoperative symptoms. We emphasize the high incidence of ultrasonically detectable fluid collections in asymptomatic patients following laparoscopic cholecystectomy, encourage caution in attributing postoperative morbidity to such findings, and suggest that repeat scanning may be helpful in patient management.
本研究旨在确定腹腔镜胆囊切除术后无症状患者中液体聚集的发生率。患者在术后第一天及大约一周后接受超声检查。25例患者中有7例(28%)在术后第一天共有9处液体聚集。5例在随访扫描时已消散,2例患者在1周扫描时出现新的液体聚集。所有患者均无明显的术后症状。我们强调腹腔镜胆囊切除术后无症状患者中超声可检测到的液体聚集发生率很高,对于将术后发病率归因于此类发现应谨慎,并建议重复扫描可能有助于患者管理。