[1]畅智慧,郑加贺,马羽佳,等.妇科恶性肿瘤术后盆腔淋巴囊肿合并下肢深静脉血栓形成的介入治疗12例 [J].介入放射学杂志,2015,(08):716-719.
 CHANG Zhi- hui,ZHENG Jia- he,MA Yu- jia,et al.Interventional therapy for pelvic lymphocele associated with deep vein thrombosis of lower extremity after the operation for gynecologic malignant tumor: initial experience in 12 cases[J].journal interventional radiology,2015,(08):716-719.
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妇科恶性肿瘤术后盆腔淋巴囊肿合并下肢深静脉血栓形成的介入治疗12例 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2015年08期
页码:
716-719
栏目:
临床研究
出版日期:
2015-08-25

文章信息/Info

Title:
Interventional therapy for pelvic lymphocele associated with deep vein thrombosis of lower extremity after the operation for gynecologic malignant tumor: initial experience in 12 cases
作者:
畅智慧 郑加贺 马羽佳 赵 健 王传卓 张 军 刘兆玉
Author(s):
CHANG Zhi- hui ZHENG Jia- he MA Yu- jia ZHAO Jian WANG Chuan- zhuo ZHANG Jun LIU Zhao- yu
Department of Radiology, Affiliated Shengjing Hospital of China Medical University, Shenyang, Liaoning Province 110004, China
关键词:
【关键词】 淋巴囊肿 深静脉血栓 淋巴结清扫术 放射学介入性
文献标志码:
A
摘要:
【摘要】 目的 评价妇科恶性肿瘤术后盆腔淋巴囊肿合并下肢深静脉血栓形成介入治疗的安全性及有效性。方法 回顾性分析近5年行介入治疗的12例妇科恶性肿瘤术后盆腔淋巴囊肿合并下肢深静脉血栓形成患者临床资料。介入治疗方法包括经皮囊肿穿刺引流,硬化固定淋巴囊肿,下腔静脉滤器置入与回收,下肢静脉支架植入等。术后观察患者有无严重并发症及临床症状改善情况,采用彩色多普勒超声和CT复查随访观察症状是否复发。结果 12例患者均在行下腔静脉滤器置入后行淋巴囊肿穿刺引流,累计共行18次穿刺引流(5例患者为双侧, 7例患者为单侧, 1例单侧患者行2次)。7例患者行滤器回收。1例患者行左侧髂静脉支架植入。1例患者术中穿刺损伤股动脉,压迫止血24 h后再行穿刺;1例患者术后引流管堵塞,更换引流管后好转;所有患者术后均无出血、肺栓塞等严重并发症。所有患者术后症状消失或明显缓解。随访3~47个月,中位随访时间为16个月,所有患者淋巴囊肿和下肢深静脉血栓均无复发。结论 采用介入治疗方法治疗淋巴囊肿合并下肢深静脉血栓形成安全、有效。

参考文献/References:

[参 考 文 献]
[1] 姚远洋, 李 云, 王 悦, 等. 妇科肿瘤腹膜后淋巴结切除术后淋巴囊肿形成的相关因素分析 [J]. 现代妇产科进展, 2013, 22: 32- 35.
[2] 张鸿慧, 张 秦, 管 群, 等. 盆腔淋巴结清扫术后淋巴囊肿研究进展[J]. 肿瘤学杂志, 2014, 20: 19- 22.
[3] 顾建平, 徐 克, 滕皋军. 下肢深静脉血栓形成介入治疗规范的专家共识[J]. 介入放射学杂志, 2011, 20: 505- 510.
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备注/Memo

备注/Memo:
(收稿日期:2014-10-01)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2015-08-23