[1]王少雷,刘德华,魏 宏,等.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[J].介入放射学杂志,2021,30(02):177-180.
 WANG Shaolei,LIU Dehua,WEI Hong,et al.Clinical application of CT-guided percutaneous catheter drainage in treating symptomatic postoperative lymphocele after lymphadenectomy for gynecological malignancies[J].journal interventional radiology,2021,30(02):177-180.
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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()

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

卷:
30
期数:
2021年02
页码:
177-180
栏目:
临床研究
出版日期:
2021-02-25

文章信息/Info

Title:
Clinical application of CT-guided percutaneous catheter drainage in treating symptomatic postoperative lymphocele after lymphadenectomy for gynecological malignancies
作者:
王少雷 刘德华 魏 宏 史国栋 乔金翰
Author(s):
WANG Shaolei LIU Dehua WEI Hong SHI Guodong QIAO Jinhan.
Intervention Ward, Department of Medical Imaging, Liaoning Provincial Tumor Hospital, Shenyang, Liaoning Province 110042, China
关键词:
【关键词】 症状性术后淋巴囊肿 CT引导 引流
文献标志码:
A
摘要:
【摘要】 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。

参考文献/References:

[1] Weinberger V, Cibula D, Zikan M,et al. Lymphocele: prevalence and management in gynecological malignancies[J]. Expert Rev Anticancer Ther, 2014, 14: 307- 317.
[2] Tsuda N, Ushijima K, Kawano K, et al. Prevention of lymphocele development in gynecologic cancers by the electrothermal bipolar vessel sealing device[J]. J Gynecol Oncol, 2014, 25: 229- 235.
[3] 唐雄志,罗兆芹,邓艳红,等. 盆腔淋巴结切除术后淋巴囊肿的防治进展[J]. 中国癌症防治杂志, 2011, 3:261- 263.
[4] Zikan M, Fischerova D, Pinkavova I, et al. A prospective study examining the incidence of asymptomatic and symptomatic lymphoceles following lymphadenectomy in patients with gynecological cancer[J]. Gynecol Oncol, 2015, 137: 291- 298.
[5] Ma XG, Wang YM, Fan AP, et al. Riskfactors,microbiology andmanagement of infected lymphocyst after lymphadenectomy for gynecologicmalignancies[J]. Arch Gynecol Obstet, 2018, 298: 1195- 1203.
[6] Hiramatsu K, Kobayashi E, Ueda Y, et al. Optimal timing for drainage of infected lymphocysts after lymphadenectomy for gynecologic cancer[J]. Int J Gynecol Cancer, 2015, 25: 337- 341.
[7] 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, 24:716- 719.
[8] 谷 博,陈妍琼,王 雁. 超声引导下穿刺置管治疗妇科恶性肿瘤术后淋巴囊肿的临床效果评价[J]. 医药论坛杂志, 2017,38:37- 41.
[9] 许志辉. 超声引导下介入疗法治疗盆腔恶性肿瘤术后淋巴囊肿的效果与安全性分析[J]. 中国超声医学杂志, 2019, 35:528- 530.
[10] Kim Y, Jeon GS, Choi SY, et al. Evaluation of sclerotherapy forthetreatment of infected postoperative lymphocele[J]. Taiwan J Obstet Gynecol, 2017, 56: 477- 481.
[11] 郑黎明,戈 伟,蒋松松,等. 淋巴管囊肿19例临床分析[J]. 江苏医药, 2015, 41:2728- 2729.

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备注/Memo

备注/Memo:
(收稿日期:2019- 11- 16)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2021-02-22