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| 改良腹股沟小切口淋巴结清扫术在外阴癌中的应用 |
| Application of modified small incision technique in inguinal lymphadenectomy for women with vulva carcinoma |
| 投稿时间：2014-10-29 修订日期：2015-01-19 |
| DOI：10.3969/j.issn.1000-0399.2015.06.010 |
| 中文关键词: 外阴癌 腹股沟淋巴结清扫术 并发症 |
| 英文关键词: Vulvar carcinoma Inguinal lymphadenectomy Complication |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨外阴癌行改良腹股沟小切口(5 cm)淋巴结清扫术的安全性和可行性。方法 外阴癌行广泛外阴切除术(RV)+双侧腹股沟淋巴结清扫术(OPL)的55例患者中, 30例行RV+传统OPL(传统大切口组), 25例行RV+改良OPL(改良小切口组)。比较分析两组患者的临床病理资料、围手术期相关资料及术后并发症。结果 改良小切口组腹股沟切口Ⅰ期愈合率高于传统大切口组, 腹股沟淋巴结清扫出血量、术后住院天数、切口裂开、切口感染、下肢水肿、蜂窝组织炎、淋巴囊肿、慢性淋巴水肿、下肢外展功能受限发生率和总并发症发生率低于传统大切口组, 差异均有统计学意义(P<0.05)。结论 外阴癌行改良OPL是安全可行的, 近期治疗效果满意。 |
| 英文摘要: |
| Objective To investigate the feasibility and safety of vulvar carcinoma undergoing modified inguinal incision (5cm) lymphadenectomy. Methods Widely radical vulvectomy(RV)and bilateral inguinal lymphadenectomy(OPL) were performed in 55 patients. Among the 55 patients, 25 patients underwent RV and the modified OPL (modified small incision group) and 30 patients underwent the traditional inguinal lymphadenectomy RV and OPL(conventional large incision group). The clinicopathological factors, operational factors and postoperative complications were compared. Results Compared with the conventional incision group, the incidence of inguinal incision healing was higher than that in the modified small incision group. The blood loss of inguinal lymphadenectomy, the postoperative hospitalization days and incidences of wound breakdown, wound infection, edema of lower extremity, cellulitis, lymphatic cyst, chronic lymphedema, the limited abduction of lower limb and total complications were relatively low in the modified small incision group(P<0.05). Conclusion Our modified inguinal incision lymphadenectomy can be safely and effectively performed for vulvar carcinoma with favorable early outcomes. |
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