子宫内膜癌术后盆腔淋巴囊肿危险因素分析

发布时间：2018-07-03 10:07

本文选题：子宫内膜癌 + 淋巴结切除术　；参考：《中国实用妇科与产科杂志》2017年04期

【摘要】：目的探讨子宫内膜癌术后盆腔淋巴囊肿形成的危险因素。方法收集2009年1月至2016年4月天津医科大学总医院妇产科行盆腔和(或)腹主动脉旁淋巴结切除的子宫内膜癌患者397例,术后发生淋巴囊肿者76例。结果子宫内膜癌盆腔和(或)腹主动脉旁淋巴结切除后淋巴囊肿的发生率为19.14%,单因素分析发现淋巴结切除范围、FIGO分期、术后化疗、术后放疗及术后放疗联合化疗与淋巴囊肿发生相关(P=0.002,P=0.010,P=0.046,P=0.040,P=0.030)。多因素Logistic回归分析,发现盆腔+腹主动脉旁淋巴结切除是淋巴囊肿形成的独立危险因素(P=0.014)。结论淋巴囊肿是子宫内膜癌盆腔和(或)腹主动脉旁淋巴结切除后的常见并发症,采取个体化治疗,避免不必要的大范围的淋巴结清扫,将会减少淋巴囊肿的发生。
[Abstract]:Objective to investigate the risk factors of pelvic lymphocyst formation after operation for endometrial carcinoma. Methods from January 2009 to April 2016, 397 patients with endometrial carcinoma underwent pelvic and / or para-aortic lymphadenectomy in General Hospital of Tianjin Medical University, and 76 cases developed lymphocysts after operation. Results the incidence of lymphocysts after pelvic and / or para-aortic lymphadenectomy in endometrial carcinoma was 19.14. The range of lymph node resection and Figo stage were found by univariate analysis. Postoperative radiotherapy and postoperative radiotherapy combined with chemotherapy were associated with lymphocysts (P0. 002, P0. 010, P0. 046, P0. 040, P0. 030). Multivariate logistic regression analysis showed that pelvic para-aortic lymphadenectomy was an independent risk factor for lymphocyst formation (P0. 014). Conclusion Lymphocyst is a common complication after pelvic and / or para-aortic lymphadenectomy in endometrial carcinoma. Individualized treatment to avoid extensive lymph node dissection will reduce the occurrence of lymphocysts.
【作者单位】：天津医科大学总医院妇产科;
【基金】：国家自然科学基金(81272863;81572568)
【分类号】：R737.33

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