重庆医学2012,Vol.41Issue(9):845-846,851,后插1,4.DOI:10.3969/j.issn.1671-8348.2012.09.005
纳米活性炭示踪子宫内膜癌前哨淋巴结的应用
Application of nano-activated carbon on tracing sentinel lymph node in endometrial neoplasm*
摘要
Abstract
Objective To explore the feasibility and effectiveness of tracing sentinel lymph node(SLN) in endometrial neoplasms using nano-activated carbon. Methods 42 patients with endometrial neoplasm who had accepted surgical treatment were enrolled. Midpoint of anterior wall,bottom and posterior wall of uterine were served as injection points,and the tracer nano-activated carbon were injected into subserosa of uterine to trace and identify the first black-stained lymph nodes during the operation. All lymph nodes removed were submitted to routine pathological testing after operation. Results Uterine serosa were found to be black-stained first in all 42 patients,followed by lymph vessels stained in bilateral pelvic funnel ligament. Among them,lymph vessels in pelvic cavity stained simultaneously in 31 cases(73. 8%). SLNs were identified in 30 patients with a total number of 114. Lymphatic metastasis was occurred in 4 cases(9. 5%) ,3 of them were SLN metastasis,and one of them with abdominal para-aortic lymph node metastasis demonstrated no SLN metastasis. Conclusion Nano-activated carbon tracing for SLN in endometrial neoplasm is feasibility and effectiveness,and has reference value for estimating lymphatic metastasis of endometrial neoplasm.关键词
前哨淋巴结活组织检查/子宫内膜肿瘤/淋巴转移/纳米活性炭Key words
sentinel lymph node biopsy/endometrial neoplasms/lymphatic metastasis/nano-activated carbon引用本文复制引用
李雨聪,王冬..纳米活性炭示踪子宫内膜癌前哨淋巴结的应用[J].重庆医学,2012,41(9):845-846,851,后插1,4.基金项目
重庆市卫生局科研基金资助项目(08-2-284). (08-2-284)