CT引导下穿刺引流技术治疗妇科恶性肿瘤术后症状性淋巴囊肿的临床应用

Clinical application of CT-guided percutaneous catheter drainage in treating symptomatic postoperative lymphocele after lymphadenectomy for gynecological malignancies

目的探讨CT引导下穿刺置管引流技术在妇科恶性肿瘤淋巴结清扫术后形成有症状淋巴囊肿患者治疗中的作用。方法对2017年12月至2018年11月31例因妇科恶性肿瘤手术治疗并行淋巴结清扫术后形成有症状淋巴囊肿的患者进行CT引导下穿刺置管引流治疗。结果共处理31例患者46个囊肿。近期有效率100%。并发症包括引流管周围液体渗漏3例、引流管脱落1例;未发生感染。对26例患者进行了3个月以上的随访,治愈20例,好转5例,无效1例。结论 CT引导下穿刺置管引流技术治疗妇科恶性肿瘤淋巴结清扫后形成的有症状淋巴囊肿安全有效,成功率高。

Objective To discuss the clinical value of CT-guided percutaneous catheter drainage(PCD) in treating symptomatic postoperative lymphocele after lymphadenectomy for gynecological malignancies.Methods A total of 31 patients with gynecological malignancy, who developed symptomatic postoperative lymphocele after receiving gynecological surgery together with lymphadenectomy during the period from December 2017 to November 2018, were enrolled in this study. All patients were treated with CT-guided PCD.Results A total of 46 pelvic lymphocele lesions in 31 patients were treated. The short-term effective rate was100%. The complications included pericatheter fluid leakage(n=3) and catheter dislodgement(n=1). No infection event occurred. A total of 26 patients were followed up for more than 3 months. Complete cure was achieved in 20 patients, improvement of disease was obtained in 5 patients, and ineffectiveness was seen in one patient. Conclusion For the treatment of symptomatic postoperative lymphocele after lymphadenectomy for gynecological malignancies, CT-guided PCD is safe and effective with high success rate.