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

发布时间：2018-01-14 14:28

本文关键词：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　出处：《介入放射学杂志》2015年08期 　论文类型：期刊论文

【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。
[Abstract]:The safety and efficacy of interventional treatment of pelvic lymphatic cyst complicated with deep venous thrombosis after operation of gynecologic malignant tumor. Objective to evaluate the recent 5 years were retrospectively analyzed for interventional treatment of 12 cases of gynecological malignant tumor after pelvic lymphatic cyst complicated with deep venous thrombosis patients. Methods clinical data of interventional therapy including percutaneous cyst puncture drainage, hardening fixed lymphatic cyst, inferior vena cava filter implantation and recovery, lower extremity venous stent implantation. Postoperative observation of patients with no serious complications and clinical symptoms to improve the situation, using color Doppler ultrasound and CT were observed whether the symptoms recurrence. Results 12 cases were in inferior vena cava filter after lymphatic cyst puncture a total of 18 times of drainage, drainage (5 cases were bilateral, 7 cases were unilateral, 1 cases of patients with unilateral 2).7 patients underwent filter recovery.1 cases The patients underwent puncture left iliac vein stent implantation in.1 patients with femoral artery injury, hemostasis 24 h after puncture; drainage tube blockage in 1 patients after replacement of drainage tube after improvement; all patients without postoperative bleeding, pulmonary embolism and other serious complications. All patients symptoms disappeared or significantly relieved. During the follow-up of 3~47 months, the median follow-up time was 16 months, all patients with lymphatic cyst and deep venous thrombosis had no recurrence. Conclusion the interventional therapy for treatment of lymphatic cyst complicated with deep venous thrombosis is safe, effective.

【作者单位】：中国医科大学附属盛京医院放射科;
【分类号】：R737.3
【正文快照】： 盆腔淋巴囊肿是妇科恶性肿瘤盆腔淋巴结清1.2.2穿刺引流与无水乙醇硬化治疗采用超声扫术后常见的并发症之一,其发病可能与术中淋巴与透视相结合引导行介入穿刺引流。应用超声诊断管残端没有彻底结扎导致淋巴液渗出有关[1]。目前仪(TERASON 2000,泰圣公司,美国)和DSA(Artis临床

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