目的 探讨超声引导介入治疗妇科恶性肿瘤手术后盆腔淋巴囊肿的临床价值。 方法 在超声引导下对26例共27个盆腔淋巴囊肿行穿刺引流、无水乙醇硬化治疗并随访6个月。 结果 治愈15个,显效6个,好转4个,无效2个。治愈率55.56%(15/27),总有效率92.59%(25/27 )。 结论 超声引导无水乙醇硬化治疗盆腔淋巴囊肿疗效肯定,切实可行。
Abstract
Objective To study ultrasound-guided puncture and sclerotherapy with absolute alcohol for postoperative pelvic lymphoceles in women with gynecologic cancers. Methods Twenty-six patients with 27 pelvic lymphoceles were treated by ultrasound-guided aspiration and sclerotherapy with injection of absolute alcohol and followed up for six months. Results Good recovery was obtained in 15 cases, marked effects in 6 cases, improvement in 4 cases and no effects in 2 cases .The cure rate was 55.56%(15/27)and the total effective rate was 92.59%(25/27). Conclusions Ultrasound guided puncture and sclerotherap with absolute alcohol is a feasible and effective method to treat pelvic lymphoceles.
关键词
超声引导 /
盆腔淋巴囊肿 /
穿刺硬化治疗
Key words
ultrasound guide /
pelvic lymphocele /
puncture  /
sclerotherapy
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参考文献
[1]卢淮武,周晖,张丙忠,等.盆腔淋巴结切除术中结扎淋巴管对术后盆腔淋巴囊肿形成的影响[J].中山大学学报(医学科学版),2009,30(6):758-761.
[2]程文,荆慧,郭文佳 .超声介导治疗宫颈癌术后淋巴囊肿[J].哈尔滨医科大学学报 ,2009,43(4):412-413.
[3]Tsuji Y,Kawaguchi R,Haruta s,et al.Late onset of pulmonary embolism caused by lymphocyst following pelvic lymphadenectomy[J].J Obstet Gynaecol Res,2007,33(5):734-738.
[4]连利娟,林巧稚.妇科肿瘤学[M].4版.北京:人民卫生出版社,2006:312-380.
[5]卢淮武,林仲秋,周晖,等.盆腔淋巴结切除术后盆腔淋巴囊肿形成与防治[J].中国妇产科临床杂志,2007, 8(4): 308-310.
[6]王军燕,汪龙霞,孙长坤,等.超声介入治疗妇科恶性肿瘤术后盆腔淋巴囊肿[J].中国医学影像学杂志,2007, 15(5) :324-327 .
[7]刘吉斌.现代介入性超声诊断与治疗[M].北京:科学技术文献出版社,2004:49.
[8]张硕,朱江,刘长浩,等.经皮穿刺引流术治疗肺脓肿的临床应用[J].武警医学,2010,21(3): 215-217 .