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目的探讨宫颈癌患者根治术后盆腔淋巴囊肿的临床特点和治疗。方法河南科技大学第一附属医院1998-10-2005-10收治宫颈癌根治术后出现盆腔淋巴囊肿患者25例,对其临床资料进行回顾性分析。结果术后不同时间内盆腔淋巴囊肿的发生率差异有统计学意义(χ2=21.04,P<0.01)以术后1～2周发生率最高,囊肿较小者中药口服加局部理疗,较大者穿刺引流,囊肿>5cm的患者10例中8例出现下肢肿胀、疼痛等压迫症状,给予抗凝治疗后预后良好。结论多数盆腔淋巴囊肿可采用保守治疗,必要时可引流治疗。淋巴囊肿压迫髂血管引起下肢症状时应作相关检查,须及时给予抗凝治疗,以防下肢静脉血栓形成。
Objective To investigate the clinical features and treatment of pelvic lymphatic cysts after radical operation in patients with cervical cancer. Methods First Affiliated Hospital of Henan University of Science and Technology 1998-10-2005-10 Twenty-five patients with pelvic lymphatic cyst after radical operation of cervical cancer were retrospectively analyzed. Results The incidence of pelvic lymphadenectasis at different time points after operation was significantly different (χ2 = 21.04, P <0.01). The incidence was the highest at 1 ~ 2 weeks postoperatively. The smaller cysts were treated with traditional Chinese medicine plus local physiotherapy. Puncture and drainage, cyst> 5cm in 10 patients, 8 cases of lower extremity swelling, pain and other symptoms of oppression, given anticoagulant therapy after a good prognosis. Conclusions Most pelvic lymphatic cysts can be treated conservatively and can be drained if necessary. Lymphatic cyst compression iliac vessels caused by lower limb symptoms should be related to check, to be given anticoagulant therapy in time to prevent venous thrombosis of the lower limbs.