中南医学科学杂志Issue(4)：404-407,4.DOI:10.15972/j.cnki.43-1509/r.2015.04.011
前哨淋巴结绘图在子宫内膜癌腹腔镜手术中的应用
Application of Sentinel Lymph Node Mapping in Laparoscopic Operation of Uterine Endometrial Carcinoma
摘要
Abstract
Objective To investigate the value of sentinel lymph node mapping of laparoscopic operation in endome-trial carcinoma. Methods 59 cases of endometrial carcinoma were treated by laparoscopic total hysterectomy ( or exten-sive total hysterectomy) +oophorectomy and bilateral pelvic lymph node dissection. The methylene blue dye was injected in the body of uterine around the subserosa under laparoscopic operation supervision. The number of sentinel lymph node and locations were observed and recorded. Results Laparoscopic sentinel lymph node detection rate was 11. 9% (7/59), the sensitivity was 87. 5% (7/8),the specificity was 100% (51/51),the accuracy was 98. 3% (58/59),the negative pre-dictive value was 98. 1%(51/52). The coefficient of Kappa was 0. 924 (P<0. 001) through the analysis of the consistency of the sentinel lymph node with metastasis of pelvic lymph node status. Conclusions Sentinel lymph node mapping with high sensitivity and specificity,simple operation,can be used as conventional method of laparoscopic surgery for endometrial carcinoma predicting the overall situation of pelvic lymph node metastasis.关键词
子宫内膜癌/前哨淋巴结/腹腔镜/淋巴绘图Key words
endometrial cancer/sentinel lymph node/laparoscopy/lymphatic mapping分类
医药卫生引用本文复制引用
邹果芳,胡红波,许红雁,罗萍香..前哨淋巴结绘图在子宫内膜癌腹腔镜手术中的应用[J].中南医学科学杂志,2015,(4):404-407,4.基金项目
广东省韶关市医药卫生科研计划项目(Y12136) （Y12136）
