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目的:探讨盆腔淋巴清扫术后开放腹膜以及延长盆腔引流时间对淋巴囊肿形成的影响。方法:2008年4月—2010年2月,我院共行妇科肿瘤手术患者454例,分为研究组(240例)和对照组(214例),两组病人均按常规行广泛切除及盆腔淋巴结清除术。清扫淋巴结的过程中仔细结扎脂肪淋巴组织断端。两组患者均在术毕时阴道置T型胶管引流,研究组术中不缝合后腹膜,且术后7日拔出引流管,对照组术后48小时或48小时后引流量少于60mL时拔出引流管,均在术后第8日行B超检查来判断淋巴囊肿形成的情况。结果:对照组214例中淋巴囊肿阳性者46例(21.5%),研究组240例中术后形成盆腔淋巴囊肿者4例(1.7%)。结论:盆腔淋巴结清除术中开放后腹膜以及术后延长拔管时间,简化了手术操作,且明显减少了术后盆腔淋巴囊肿的形成。
Objective: To investigate the effect of opening the peritoneum after pelvic lymphadenectomy and prolonging the pelvic drainage time on the formation of lymphatic cyst. Methods: From April 2008 to February 2010, 454 gynecologic cancer patients in our hospital were divided into study group (240 cases) and control group (214 cases). The patients in both groups underwent routine resection and pelvic Lymphadenectomy. Carefully ligate the fatty lymphoid tissue ends during lymph node dissection. Two groups of patients were placed in the vaginal T-tube drainage at the end of surgery, the study group did not postoperative peritoneal suture, and pull out the drainage tube on the 7th after surgery, the control group after 48 hours or 48 hours after drainage less than 60mL Pull out the drainage tube, were on the 8th postoperative B-ultrasound to determine the formation of lymphatic cyst. Results: In the control group, 46 cases (21.5%) were positive for lymphocyst in 214 cases, and 4 cases (1.7%) formed pelvic lymphatic cyst in 240 cases in the study group. Conclusion: The pelvic lymphadenectomy in the peritoneum after opening and the extension of extubation time, simplifying the operation, and significantly reduce the postoperative pelvic lymphatic cyst formation.