T管引流对宫颈癌根治术后预防淋巴囊肿形成的效果观察

Preventive effects of T-tube drainage on lymphatic cyst formation after radical operation of cervical carcinoma

目的探讨T管持续低负压吸引在宫颈癌根治术后预防盆腔淋巴囊肿的效果。方法将2012一01—2012．12因宫颈癌行广泛子宫切除并盆腔淋巴结清扫术的90例患者，于术后随机分为A组（盆腔内未放置引流管引流，45例）和B组（盆腔内放置T管引流并低负压吸引，45例），观察两组术后囊肿的发生率。结果淋巴囊肿发生率A组[26．7％（12／45）]显著高于B组[2．2％（1／45）]（P〈0．01），但两组术后淋巴囊肿发生部位差异无统计学意义（P〉0．05）。结论T管负压加大引流可以降低宫颈癌根治术术后淋巴囊肿的发生率。

Objective To investigate the preventive effects of continuous T-tube low negative pressure suc- tion on pelvic lymphatic cyst formation after radical operation on cervical carcinoma. Methods From January to De- cember 2012, 90 patients after radical hysterectomy and pelvic lymphadenectomy for cervical carcinoma were divided into group A（no drainage in the pelvic cavity, 45 cases） and group B （T-tube suction and low negative pressure drainage in the pelvic cavity, 45 cases）. The occurrence rate of lymphatic cyst after operation between the two groups were observed. Results The occurrence rate of lymphatic cyst in group A was 26.7% （ 12/45 ） and that in group B was 2.2% （ 1/45 ）. There was statistically significant difference in occurrence rate lymphatic cyst between two groups（P 〈0. 01 ） ;There was no significant difference in occurrence site of lymphatic cyst between the two groups after op- eration（P 〉 0.05 ）. Conclusion The T-tube negative pressure suction can reduce the occurrence rate of lymphatic cyst in the patients after radical operation of cervical carcinoma.