中华墨汁对子宫颈癌根治术中前哨淋巴结的识别作用

The identification of nodes with Chinese inkin radical resection of cervical carcinoma

目的探讨中华墨汁在子宫颈癌根治术中识别前哨淋巴结(SLN)的价值。方法宫颈癌周围正常组织内分4点注射中华墨汁每点1ml后,行广泛子宫切除术和盆腔淋巴结清扫术。观察盆腔淋巴引流区域内黑染的淋巴结。结果21例患者中可识别SLN20例,成功率为95.2。3例淋巴结转移者SLN阳性,SLN对盆腔淋巴结转移预测准确性100。结论中华墨汁用于示踪宫颈癌SLN效果可靠。

Objective To explore the value of Chinese ink in identifying sentinel lymph nodes （SLN） during radical resection of cervical carcinoma. Methods After sterilized Chinese ink （ 1 ml ） was infused in normal tissue at four points, extensive cervical resection and cleaning operaction of pelvic lymph nodes were performed. Lymph nodes staining black in drainage field of pelvic lymph system were investigated. Results Of 21 cases with cervical neoplasms, SLNs 20 cases could be identified. The identifying rate was 95.2% （ 20/21 ）. Positive lymph nodes were found in 3 cases with lymph node metastasis. The accurate rate of pelvic lymph nodes metastasis was 100%. Conclusion The effect is reliable by using Chinese ink as tracer of SLNs in cervical carcinoma.