中国实用妇科与产科杂志2017，Vol.33Issue(4)：428-432,5.DOI:10.19538/j.fk2017040123
子宫内膜癌术后盆腔淋巴囊肿危险因素分析
The risk factors analysis of lymphocele after pelvic lymphadenectomy in patients with endometrial cancer
摘要
Abstract
Objective To investigate the incidence and risk factors of lymphocele development after pelvic lymphadenectomy.Methods This retrospective study was carried out on 397 patients who received a pelvic lymphadenectomy with or without a para-aortic lymphadenectomy between January 2009 and April 2016,due to endometrial cancer,in General Hostipal of Tianjin Medical University.A total of 76 patients developed lymphoceles.Results The incidence of lymphocele after a pelvic lymphadenectomy with or without a para-aortic lymphadenectomy was 19.14％.Single factor analysis indicated that scope of lymphadenectomy,FIGO stage,postoperative radiotherapy,postoperative chemotherapy,postoperative radiotherapy and chemotherapy were associated with lymphocyst formation (P=0.002,P=0.010,P=0.046,P=0.040,P=0.030 respectively).Multiple factors Logistic analysis through the adjustment of the factors showed a pelvic lymphadenectomy with a para-aortic lymphadenectomy was the independent risk factors for lymphocyst formation (P=0.014).Conclusion Lymphocele is the most common postoperative complication after a pelvic lymphadenectomy with para-aortic lymphadenectomy in endometrial cancers.It is useful to help reduce the incidence of lymphocele to perform individualized treatment and avoid unnecessary ltmphadenectomy of a large scope.关键词
子宫内膜癌/淋巴结切除术/淋巴囊肿/危险因素Key words
endometrial cancer/lymphadenectomy/lymphocele/risk factor分类
医药卫生引用本文复制引用
潘明霞,王颖梅,闫晔,王琦,姜素,韩姹,张旭红,薛凤霞..子宫内膜癌术后盆腔淋巴囊肿危险因素分析[J].中国实用妇科与产科杂志,2017,33(4):428-432,5.基金项目
国家自然科学基金(81272863 （）
81572568) （）
