临床医学工程2024，Vol.31Issue(7)：805-806,2.DOI:10.3969/j.issn.1674-4659.2024.07.0805
多部位示踪技术前哨淋巴结活检在早期子宫内膜癌中的应用
Application of Multi-Site Tracing Technique Sentinel Lymph Node Biopsy in Early Endometrial Cancer
摘要
Abstract
Objective To explore the application value of multi-site tracing technique sentinel lymph node(SLN)biopsy in early endometrial cancer.Methods 63 patients with early endometrial cancer admitted to our hospital were randomly divided into intracervical injection group,intrauterine injection group and combined injection group equally.Indocyanine green was injected into corresponding areas to determine location and number of sentinel lymph nodes,which were resected and sent for pathology.The extrafascial hysterectomy,bilateral adnexectomy and para-aortic/pelvic lymphadenectomy were performed.The sensitivity,accuracy,false negative rate,and negative predictive value of SLN were compared among the three groups.Results Among 51 SLN patients,18 cases had lymph node metastasis(3 cases in intracervical injection group,4 cases in intrauterine injection group,11 cases in combined injection group).1 patient with para-aortic lymph node metastasis in combined injection group,which was an early high-risk type of endometrial cancer,endometrioid cancer.The sensitivity and accuracy of the combined injection group were higher than those of the intracervical injection group and intrauterine injection group,and the negative predictive rate was lower than that of the intracervical injection group and intrauterine injection group(P<0.05).Conclusions Intracervical and intrauterine injection sites can more effectively identify SLN in pelvic area with higher accuracy,providing positive guidance for intraoperative lymph node dissection and good application value for early endometrial cancer.关键词
多部位示踪技术/前哨淋巴结/早期子宫内膜癌Key words
Multi-site tracing technique/Sentinel lymph node/Early endometrial cancer分类
医药卫生引用本文复制引用
曲新霞,喇慧,王珂..多部位示踪技术前哨淋巴结活检在早期子宫内膜癌中的应用[J].临床医学工程,2024,31(7):805-806,2.基金项目
河南省医学科技攻关计划联合共建项目(LHGJ20191440) （LHGJ20191440）
