摘要
目的:探讨盆腔淋巴清扫术放置T管经阴道引流对预后的影响。方法:选择2004年3月～2010年4月91例宫颈癌和子宫内膜癌行子宫根治术及双侧盆腔淋巴清扫术后患者:A组52例行经阴道T管引流,B组39例经下腹部双套管引流。比较两组术后引流量、盆腔淋巴囊肿发生率下肢静脉血栓发生率和尿潴留发生率的差异。结果:术后引流量A组(201.90±42.60mL)明显多于B组(127.62±28.47mL),盆腔淋巴囊肿、下肢静脉血栓发生率A组均低于B组(P<0.05);术后尿潴留发生率A组与B组相似,差异无统计学意义(P>0.05)。结论:对于行盆腔淋巴清扫术后患者,采用经阴道T管引流有利于降低术后淋巴囊肿、下肢静脉血栓发生率,利于患者术后恢复,是值得临床推广的一种有效引流方法。
Objective To explore the effect on prognosis of Gynecological retroperitoneal lymphadenectomy for placing placed T tube drainage.Methods From March,2004 to April , 2010 91 patients of cervical cancer and endometrial cancer suffering from radical hysterectomy and gynecological retroperitoneal lymphadenectomy were divided into two groups: vaginal T tube drainage in A group (52 cases) and group B after lower abdominal double cannula conduction (39 cases).TO compare ifferences of postoperative drainage volume, pelvic lymph cyst incidence , lower extremity venous thrombosis incidence and the incidence of urinary retention in two group.Re-sults The total volume of drainage after operation in A group (201.90 ± 42.60ml) were significantly higher than that of B group (127.62 ± 28.47ml), Pelvic lymph cyst, venous thrombosis incidence in A group were lower than those of B group (P<0.05);postoperative urinary retention rate in group A and group B were similar, the difference was not statistically significant.Conclusion For a row of pelvic lymph node dissection postoperative patients, us-ing transvaginal T tube drainage can reduce postoperative lymphoceles, venous thrombosis incidence, iti was ben-eficial for patients with postoperative recovery,and it was an effective drainage method and should be recom-mended widely.
出处
《湖南师范大学学报（医学版）》
2013年第1期34-36,共3页
Journal of Hunan Normal University(Medical Sciences)
关键词
盆腔淋巴清扫术
预后
T管引流
妇科恶性肿瘤
retroperitoneal lymphadenectomy
prognosis
T tube drainage
gynecologic malignant tumor
