子宫内膜癌患者行淋巴结清扫术后并发淋巴囊肿的因素分析

Factor Analysis of Complicated Lymphocysts after Lymph Node Dissection in Patients with Endometrial Carcinoma

目的:探讨子宫内膜癌患者淋巴结清扫术后并发盆腔淋巴囊肿的危险因素,以用于指导淋巴囊肿的防治。方法:选取于青岛大学附属医院行腹腔镜下淋巴结清扫术的168例子宫内膜癌患者作为研究对象,分析术后发生淋巴囊肿的危险因素。结果:淋巴囊肿发生率为26.8%;单因素分析结果显示,淋巴囊肿的发生与淋巴结切除数目、血清白蛋白水平、腹部手术史、大网膜切除、术中出血量具有相关性(P 【0.05);logistic回归分析结果显示:淋巴结切除数目和范围、血清白蛋白水平为子宫内膜癌患者淋巴结切除术后并发盆腔淋巴囊肿的独立危险因素。结论:子宫内膜癌患者行淋巴结清扫术后盆腔淋巴囊肿的发生率较高,淋巴结切除数目和范围、术后血清白蛋白水平为其独立危险因素,应加以重视和预防。

Objective: To investigate the risk factors of complicated pelvic lymph cyst after lymph node dissection in patients with endometrial cancer to guide the control of lymph cyst. Methods: The 168 cases of endometrial cancer patients undergoing laparoscopic lymph node dissection of Qingdao were selected to analyze the postoperative risk factors of lymphocyst. Results: The incidence of lymphocysts was 26.8%;univariate analysis showed that the number of lymphadenectomies, serum albumin level, abdominal surgery, omentectomy, intraoperative amount of bleeding (P <0.05);multiple logistic regression analysis showed that the number of lymphadenectomy and serum albumin levels were independent risk factors for lymphadenectomy in patients with endometrial cancer. Conclusion: The incidence of pelvic lymph cyst is high after lymph node dissection, and the number and range of lymphadenectomy, serum albumin levels are their independent risk factors, which should be paid attention to and prevented.