实用临床医药杂志2025，Vol.29Issue(10)：73-77,5.DOI:10.7619/jcmp.20246236
吲哚菁绿、纳米炭、亚甲蓝示踪法及吲哚菁绿联合纳米炭示踪法在Ⅰ～Ⅱ期子宫内膜癌腹腔镜手术中的应用比较研究
A comparative study on application of indocyanine green,nano-carbon,methylene blue tracing method and indocyaninegreen combined with nano-carbon tracing method in laparoscopic surgery for stageⅠ to Ⅱ endometrial cancer
摘要
Abstract
Objective To compare the application value of indocyanine green(ICG),nano-car-bon,methylene blue(MB)tracing methods,and ICG combined with nano-carbon tracing method in laparoscopic surgery for stage Ⅰ to Ⅱ endometrial cancer according to International Federation of Gynecology and Obstetrics(FIGO)staging system.Methods A retrospective selection of 92 pa-tients who underwent laparoscopic surgery for stage Ⅰ to Ⅱ endometrial cancer was conducted.Based on intraoperative sentinel lymph node(SLN)tracing method,the patients were divided into ICG group(n=24,using ICG tracing method),nano-carbon group(n=22,using nano-carbon tracing meth-od),MB group(n=23,using MB tracing method),and combined group(n=23,using ICG combined with nano-carbon tracing method).Surgical-related indicators,pathological results,and the incidence of complications were compared among the four groups.The detection efficacy of different tracing methods was also compared,using pathological results of surgical specimens as the gold standard.Results There were no statistically significant differences in the SLN resection time,to-tal operative time,and intraoperative blood loss among the four groups(P＞0.05).The number of lymph nodes resected intraoperatively in the combined group was significantly higher than that in the other three groups(P＜0.05).There were no statistically significant differences in the pathological results of surgical specimens(tumor invasion depth＞50％,tumor diameter＞2 cm,tumor invasion of the cervix or lymphovascular space)among four groups(P＞0.05).The complication rates in the ICG group,nano-carbon group,MB group,and combined group were 4.17％,9.09％,8.70％,and 13.04％,respectively,with no statistically significant difference(P＞0.05).Using the pathological results of surgical specimens as the gold standard,the detection accuracy,sensitivi-ty,and specificity of ICG combined with nano-carbon tracing method for SLNs in patients with stage Ⅰto Ⅱ endometrial cancer were 86.96％,90.00％,and 66.67％,respectively.The positive predictive value and negative predictive value were 94.74％and 50.00％,respectively.The detection efficacy of this combined method was higher than that of the other three methods.Conclusion Compared with the ICG,nano-carbon,and MB tracing method,ICG combined with nano-carbon tracing method has a higher application value in laparoscopic surgery for stage Ⅰ toⅡ endometrial cancer.It can accurately i-dentify the status of lymph node metastasis,with a moderate price and simple operation.关键词
吲哚菁绿/纳米炭/亚甲蓝/吲哚菁绿联合纳米炭示踪法/子宫内膜癌/前哨淋巴结/腹腔镜手术/国际妇产科联盟分期Key words
indocyanine green/nano-carbon/methylene blue/combined indocyanine green and nano-carbon tracing method/endometrial cancer/sentinel lymph node/laparoscopic surgery/International Federation of Gynecology and Obstetrics staging分类
临床医学引用本文复制引用
周艳菲,薛晓丹,阎慧娟..吲哚菁绿、纳米炭、亚甲蓝示踪法及吲哚菁绿联合纳米炭示踪法在Ⅰ～Ⅱ期子宫内膜癌腹腔镜手术中的应用比较研究[J].实用临床医药杂志,2025,29(10):73-77,5.基金项目
河南省医学科技攻关计划项目(2018020351) （2018020351）
