摘要
目的:探讨妇癌术后预防盆腔腹膜后淋巴囊肿形成的最佳措施。方法:将2005年10月～2010年2月本院收治的65例妇癌根治术后患者病历进行回顾性分析,分为阴道封闭单管经腹引流组共28例(A组),采用阴道残端开放双管经阴道引流组共37例(B组)。对两组淋巴囊肿发生情况统计分析,并对术后肛门排气时间、抗菌药应用天数、发热天数、盆腔感染发生率、尿潴留发生率、切口愈合情况等并发症进行比较。结果:术后盆腔淋巴囊肿发生率:阴道封闭单管经腹引流组(A组)为28.6%,阴道残端开放双管经阴道引流组(B组)为2.7%;术后继发盆腔感染:A组3例,B组0例;A组在术后发热天数及抗菌药应用天数与B组相比,差异有统计学意义(P<0.05)。两组在肛门排气时间、尿潴留发生率、切口愈合情况等并发症的发生差异无统计学意义。结论:妇癌根治术后经阴道腹膜后双管淋巴引流是预防术后盆腔腹膜后淋巴囊肿形成的有效途径,方法简单、效果可靠,无手术难度,不增加术后并发症,值得临床推广。
Objective To explore the methods to prevent and treat the pelvic lymphocysts after postoperative pelvic. Methods 65 patients after pelic lymphadenectomy in the year of 2005-2010 were divided into group A and B,which consisted of 28 and 37 cases respectively. The patients in group A were performed abdominal drainage and the group B were performed vaginal retroperitoneal lymphatic drainage. To observe the operative duration and postoperative restoration. Results The incidence rates of pelvic lymphocysts were 28.6% and 2.7% in group A and B; respectively. The days of fever and drug of the antibiotics in group B were more than group A, there was significant difference between the two groups（P〈0.05）. However the incidence of the complications,such as The anal exsufflation, Urinary retention and the recovery of the cuts were not. Conclusion The method of vaginal drainage could significantly decreas incidence of postoperative pelvic Lymphoceles and is a simple and effective method for prevention of postoperative pelvic lymphoeystand it is deserves to extend its clinical application.
出处
《中国美容医学》
CAS
2012年第09X期152-153,共2页
Chinese Journal of Aesthetic Medicine
关键词
妇癌手术
阴道残端开放
阴道引流
淋巴囊肿
gynecologic cancer surgery
open vaginal stump
lymphoceles pelvic cyst
vaginal drainage
