盆腔淋巴结清扫术中预防及治疗淋巴囊肿的相关因素分析

发布时间：2018-07-02 20:17

本文选题：子宫颈癌 + 子宫内膜癌　；参考：《新疆医科大学》2014年硕士论文

【摘要】：目的：探讨腹腔镜全麻下盆腔淋巴结清扫术后形成并发症及盆腔淋巴囊肿的诊治情况,术中及术后各类指标的变化,淋巴囊肿形成的影响因素、其他并发症发生情况及处理方式,寻找能更有效预防,处理,治疗的方法,以尽量减少手术后并发症,提高患者的手术后生活质量,提供临床指导价值。方法：回顾性分析了从2011年12月至2013年10月在新疆肿瘤医院妇外一科进行腹腔镜下宫颈癌根治术和子宫内膜癌根治术患者相关的临床资料,对年龄、肿瘤类型、分期、出血量、淋巴结清扫个数、术前行新辅助化疗、术前低蛋白血症、术后辅助化疗、手术后并发症的发生情况及处理方式、盆腔淋巴囊肿的发生、处理、治疗和转归等进行统计处理和回顾性分析。结果：宫颈癌112例和子宫内膜癌77例腹腔镜手术均顺利完成,手术后观察各项指标。对高龄,既往有腹部手术史,有内科合并症并不增加手术并发症的发生。结论：熟悉解剖、操作仔细,减少并发症的发生,术后留置尿管不宜少于7天,不宜超过14天,以免泌尿系感染引起尿潴留,既往有腹部手术史及有内科合并症并未增加手术并发症的发生,术前行新辅助化疗是影响盆腔淋巴囊肿形成的危险因素。
[Abstract]:Objective: to investigate the complications of pelvic lymph node dissection under laparoscopic general anesthesia, the diagnosis and treatment of pelvic lymphocysts, the changes of various indexes during and after operation, and the influencing factors of lymphocyst formation. In order to reduce the postoperative complications, improve the quality of life of the patients, and provide clinical guidance, we should find more effective methods to prevent, treat and treat other complications. Methods: from December 2011 to October 2013, the clinical data of patients undergoing laparoscopic radical cervical cancer resection and radical endometrial carcinoma surgery were analyzed retrospectively, including age, tumor type, stage, bleeding volume. The number of lymph nodes dissection, preoperative neoadjuvant chemotherapy, preoperative hypoproteinemia, postoperative adjuvant chemotherapy, occurrence and treatment of postoperative complications, occurrence and treatment of pelvic lymphocysts, Treatment and outcome were analyzed statistically and retrospectively. Results: 112 cases of cervical cancer and 77 cases of endometrial carcinoma were successfully performed laparoscopic surgery. For old age, previous history of abdominal surgery, medical complications do not increase the incidence of surgical complications. Conclusion: familiar with anatomy, careful operation, reduce the incidence of complications, postoperative indwelling urethral catheter should not be less than 7 days, should not exceed 14 days, so as to avoid urinary tract infection caused urinary retention. Preoperative neoadjuvant chemotherapy was a risk factor for pelvic lymphocysts.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R737.33

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