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目的:探讨盆腔淋巴清扫术放置T管经阴道引流对预后的影响。方法:选择2004年3月～2010年4月91例宫颈癌和子宫内膜癌行子宫根治术及双侧盆腔淋巴清扫术后患者:A组52例行经阴道T管引流,B组39例经下腹部双套管引流。比较两组术后引流量、盆腔淋巴囊肿发生率下肢静脉血栓发生率和尿潴留发生率的差异。结果:术后引流量A组(201.90±42.60mL)明显多于B组(127.62±28.47mL),盆腔淋巴囊肿、下肢静脉血栓发生率A组均低于B组(P<0.05);术后尿潴留发生率A组与B组相似,差异无统计学意义(P>0.05)。结论:对于行盆腔淋巴清扫术后患者,采用经阴道T管引流有利于降低术后淋巴囊肿、下肢静脉血栓发生率,利于患者术后恢复,是值得临床推广的一种有效引流方法。
Objective: To investigate the effect of transvaginal drainage of T tube placed in pelvic lymph node dissection on prognosis. Methods: From March 2004 to April 2010, 91 patients with cervical cancer and endometrial cancer who underwent hysterectomy and bilateral pelvic lymph node dissection were selected. 52 patients in group A underwent transvaginal T-tube drainage and 39 patients in group B The lower abdomen double sleeve drainage. The difference of postoperative drainage volume, the incidence of pelvic lymphatic cyst, the incidence of venous thrombosis of lower extremity and the incidence of urinary retention were compared. Results: The postoperative drainage volume in group A (201.90 ± 42.60 mL) was significantly higher than that in group B (127.62 ± 28.47 mL). The incidence of pelvic lymphatic cyst and venous thrombosis in lower limbs in group A was lower than that in group B (P <0.05) The incidence of urinary retention in group A was similar to that in group B, with no significant difference (P> 0.05). Conclusion: Transvaginal T-tube drainage in patients with pelvic lymphadenectomy is conducive to reduce the incidence of postoperative lymphatic cyst and venous thrombosis of the lower extremities, which is conducive to postoperative recovery. It is an effective drainage method worthy of clinical promotion.