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。
Objective To evaluate the safety and effectiveness of interventianal treatment for pelvic lymphoeele associated with deep vein thrombosis （DVT） of lower extremity after the operation for gynecologic malignant tumor. Methods During last five years, a total of 12 patients with pelvic lymphocele associated with DVT of lower extremity after the operation for gynecologic malignant tumor received interventional treatment. The clinical data were retrospectively analyzed. The interventional procedures included catheter drainage, injection of hardening agent, implantation and retrieval of inferior vena eava filter, lower extremity vein stenting, etc. After the treatment, the patients were kept under close observation for the occurrence of serious complications and the improvement of clinical symptoms. Color Doppler uhrasonography and CT scan were employed to check the therapeutic results. Results Inferior vena cava filter placement was performed in 12 patients, which was followed by puncture drainage of pelvic lymphocele; a total of 18 times of puncture drainage were carried out, including bilateral procedures in 5 patients, unilateral procedure in 7 patients and two times of puncture drainage in one patient. Filter retrieval was performed in 7 patients. In one patient, puncture of femoral artery was employed, and puncture of femoral artery was repeated after oppression hemostasis for 24 hours. Occlusion of drainage tube occurred in one patient, the occlusion was improved after replacement of the drainage tube. Left iliac vein stenting was adopted in one patient. After the treatment, in all patients no severe complications such as hemorrhage or pulmonary embolism occurred, and the clinical symptoms disappeared or were obviously improved. The patients were followed up for 3-47 months with a median time of 16 months. No recurrence of pelvic lymphocele was observed in all patients. Conclusion For the treatment of lymphocele associated with DVT of lower extremity, interventional therapy is safe and effective.
出处
《介入放射学杂志》
CSCD
北大核心
2015年第8期716-719,共4页
Journal of Interventional Radiology
