盆腔淋巴结切除术后预防淋巴囊肿形成的探讨

The study of preventing lymphocyte after pelvic lympadenectomy

目的通过分析比较在盆腔淋巴结切除术中使用无菌滑石粉及纤维蛋白胶2种方法,预防术后盆腔淋巴囊肿形成,寻找更有效且经济实用、易于推广的一种预防盆腔淋巴囊肿形成的方式。方法选取53例妇科恶性肿瘤患者,行盆腔淋巴结切除术,对其临床资料进行分析。结果术中使用无菌滑石粉及使用纤维蛋白胶预防术后淋巴囊肿形成的两种方法差异有统计学意义。结论使用无菌滑石粉预防淋巴囊肿的效果好,价格低廉,易于操作,且能有效节约医疗资源,减轻患者经济负担。

Objective： To find an effective,economical,feasible and easy way to popularize and to avoid postoperative pelvic lymphocele of using sterile talc powder and fibrin glue. Methods： The clinical data of 53 gynecological malignancy patients who had pelvic lymph node dissections were analyzed. Results： The difference between the use of sterile talc powder and that of fibrin glue during a pelvic lymph node dissection was statistically significant. Conclusion： Using sterile talc powder during a pelvic lymph node dissection is more effective and more economical,which can also save medical resources effectively and reduce patients＇ financial burdens.