国际妇产科学杂志

国际妇产科学杂志 ›› 2012, Vol. 39 ›› Issue (2): 202-205.

• 论著 • 上一篇    下一篇

盆腔淋巴结清扫术后盆腔淋巴囊肿预防探讨

韩丽萍, 侯 娜, 高 美, 史惠蓉, 李留霞, 赵丽娟   

  1. 450052 郑州大学第一附属医院妇产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2012-04-15 发布日期:2012-04-15
  • 通讯作者: 韩丽萍

Prevention of Pelvic Lymphocyst After Pelvic Limphonodes Dissection

HAN Li-ping，HOU Na，GAO Mei，SHI Hui-rong，LI Liu-xia，ZHAO Li-juan   

  1. Department of Obstetrics and Gynecology，the First Affiliated Hospital of Zhengzhou University，Zhengzhou 450052，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2012-04-15 Online:2012-04-15
  • Contact: HAN Li-ping

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摘要： 目的：探讨超声刀和百克钳在妇科恶性肿瘤腹式根治术中的应用。方法：回顾分析2009年1月—2010年10月郑州大学第一附属医院58例应用超声刀或百克钳的腹式盆腔淋巴结清扫术患者及100例未应用超声刀或百克钳的腹式盆腔淋巴结清扫术患者临床资料，比较手术时间、术中出血量、清扫淋巴结个数、引流液量、尿管留置时间、淋巴囊肿发生例数，住院时间及术后盆腔淋巴囊肿的发生率。结果：治疗组手术时间、术中出血量、引流液量低于对照组，术后淋巴囊肿发生率明显低于对照组，差异有统计学意义（P＜0.05）。结论：腹式盆腔淋巴结清扫术中使用超声刀或百科钳能有效地缩短手术时间、减少术中出血量、降低术后淋巴囊肿的发生率，在妇科肿瘤根治术中值得推广。

关键词: 淋巴囊肿, 淋巴结切除术, 宫颈肿瘤, 子宫内膜肿瘤, 卵巢肿瘤, 超声刀, 百克钳

Abstract: Objective：To Investigate the value of Ultrasonic scalpel and BiCamp in abdominal pelvic lymphadenectomy. Methods：Among 158 cases who received abdominal pelvic lymphadenectomy in our hospital from Jan 2009 to Oct 2010， 58 cases were performed using ultrasonic scalpel or BiCamp and the other 100 cases without using ultrasonic scalpel or BiCamp. The operative time， interoperative blood loss， pelvic drainage， postoperative urination recovery time and hospital stay were compared between two groups. Results：With Ultrasonic scalpel and BiCamp， the operative time was shorter， the interoperative blood loss was less and the incidence of postoperative lymphocele was low. The difference between the two groups was statistically signifcant（P＜0.05）. Conclusions：It will reduce the operative time， the interoperative blood loss and the incidence of postoperative lymphocele by using ultrasonic scalpel or BiCamp in abdominal pelvic lymphadenectomy. BiCamp and ultrasonic scalpel should be recommanded.

Key words: Lymphocele, Lymph node excision, Uterine cervical neoplasms, Endometrial neoplasms, Ovarian neoplasms, Ultrasonic scalpel