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目的总结分析盆腔淋巴结清除术后患者盆腔淋巴囊肿发生率及相关因素,探讨其防治措施。方法回顾性分析2002年1月至2008年6月期间于我院妇科行盆腔淋巴结清除术128例患者的临床资料,统计术后并发盆腔淋巴囊肿的情况,并分析其发生率与不同病种、盆腔后腹膜开闭情况、留置引流与否之间的关系。总结该并发症临床处理经验及预防措施。结果卵巢癌术后发生盆腔淋巴囊肿的几率显著小于宫颈癌及子宫内膜癌;术中开放盆腔后腹膜的患者淋巴囊肿发生率显著小于关闭盆腔后腹膜患者;是否留置盆腔腹膜后引流对淋巴囊肿发生率的影响未见统计学差异。结论保留盆腔后腹膜开放,对减少患者术后淋巴囊肿有意义;对于止血彻底、无副损伤的手术不必常规放置盆腔腹膜后引流。
Objective To summarize and analyze the incidence and related factors of pelvic lymphatic cysts in patients with pelvic lymph node dissection and to explore its prevention and treatment. Methods The clinical data of 128 patients with pelvic lymph node dissection in our hospital from January 2002 to June 2008 were analyzed retrospectively. The incidence of pelvic lymphatic cysts after operation was analyzed. The incidence of pelvic lymphadenopathy was analyzed. Posterior pelvic peritoneal opening and closing situation, the relationship between indwelling drainage or not. Summarize the complications of clinical treatment experience and preventive measures. Results The incidence of pelvic lymphocyst after ovarian cancer surgery was significantly less than that of cervical cancer and endometrial cancer. The incidence of lymphatic cyst in patients with pelvic and retroperitoneal laparoscopic surgery was significantly less than that in patients with pelvic retroperitoneum after pelvic peritoneal drainage. The impact of incidence was not statistically different. Conclusion Retention of pelvic peritoneum after open, to reduce the postoperative lymphocystis meaning; for hemostasis, no side effects of surgery without routine placement of pelvic retroperitoneal drainage.