摘要： 目的 研究腹腔镜下宫颈癌根治术后腹壁单管引流的效果及其对淋巴囊肿发生的影响。方法 将87例行腹腔镜下宫颈癌根治术的患者分为单管引流组（经腹壁一侧穿刺孔置入一根引流管，n=29）和双管引流组（经腹壁左右两侧穿刺孔各置入一根引流管，n=58），比较2组术中淋巴结清扫数目、术后引流效果和淋巴囊肿发生率。分别以14、31枚淋巴结清扫数目为界点，将87例患者再分组，比较淋巴囊肿的发生率。分析淋巴结清扫数目、术后总引流量、引流管留置时间与淋巴囊肿发生的关系。结果 单管引流组与双管引流组比较，术后总引流量、引流管留置时间和淋巴囊肿发生率的差异无统计学意义（P>0.05）。单管引流组的淋巴结清扫数目大于双管引流组（P<0.05）。淋巴结清扫数目≥31枚组和<31枚组比较，淋巴囊肿发生率无统计学差异（P>0.05）。淋巴结清扫数目、术后引流量与淋巴囊肿的发生无明显相关（P>0.05）。结论 腹腔镜下宫颈癌根治术后腹壁单管引流与腹壁双管引流相比，引流效果无明显差异，且淋巴囊肿发生率未见上升。同时，减少放置的引流管有助于减轻患者的不适感。经腹壁单管引流可以成为双管引流的有效替代。

腹腔镜下宫颈癌根治术后单管引流对淋巴囊肿发生的影响

黎金婷¹, 毕晓璐², 庞晓燕¹, 田东立¹, 窦磊¹, 张颐¹

1. 中国医科大学附属第一医院妇科, 沈阳 110001;
2. 沈阳市第四人民医院妇产科, 沈阳 110031

收稿日期:2019-10-12出版日期:2020-12-30发布日期:2020-12-09
通讯作者:张颐E-mail:syzi@163.com
作者简介:黎金婷(1996-),女,硕士研究生.
基金资助:辽宁省中央引导地方科技发展专项（2019JH6/10400006）；中国医科大学2019年度培育学科支持计划


关键词: 腹壁引流, 单管, 双管, 淋巴结清扫, 淋巴囊肿
Abstract: Objective To analyze the drainage effect of single-tube drainage after laparoscopic radical surgery for cervical cancer. Methods A total of 87 patients who underwent laparoscopic radical surgery for cervical cancer were divided into single- and double-tube drainage groups (n=29 and 58,respectively). The number of lymph node dissections,drainage effect,and incidence of lymphatic cyst were compared. According to the number of lymph node dissections,87 patients were regrouped to compare the incidence of lymphatic cyst. The relationships between the number of lymph node dissections,total postoperative drainage volume,drainage tube retention time,and incidence of lymphatic cyst were analyzed. Results No significant differences in the total postoperative drainage volume,drainage tube retention time,and incidence of lymphatic cyst were found between the single- and double-tube drainage groups (P>0.05). The number of lymph node dissections in the single-tube drainage group was greater than that in the double-tube drainage group (P<0.05). No significant difference in the incidence of lymphatic cyst was found between the groups with ≥ 31 and <31 lymph node dissections (P>0.05). The number of lymph node dissections and postoperative drainage volume were not related to the occurrence of lymphatic cyst (P>0.05). Conclusions No significant difference in drainage effect was found between single- and double-tube drainage after laparoscopic radical surgery for cervical cancer. Single-tube drainage does not increase the incidence of lymphatic cyst and could be an alternative to double-tube drainage.
Key words: drainage of abdominal wall, single-tube, double-tube, lymph node dissection, lymphatic cyst
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