盆腔淋巴结清扫术后盆腔淋巴囊肿预防探讨

Prevention of Pelvic Lymphocyst After Pelvic Limphonodes Dissection

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。

Objective：To Investigate the value of Ultrasonic scalpel and BiCamp in abdominal pelvic lymphadenecto- my. Methods：Among 158 cases who received abdominal pelvic lymphadeneetomy 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 Uhrasonic scalpel and BiCamp, the operative time was shorter, the interoperative blood loss was less and the incidence of postoperative lymphoeele 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 reeommanded.