【摘要】 【目的】探讨腹腔镜下髂总深部淋巴结切除术在子宫恶性肿瘤中的临床价值。【方法】收集中山大学附属第三医院2016年03月至2017年06月腹腔镜下髂总深部淋巴结切除术88例,对淋巴结切除数目、淋巴结阳性数量、手术并发症等进行分析。【结果】盆腔淋巴结切除数量18～52枚,平均为26枚,髂总深部淋巴结切除数量1～16枚,平均为5枚。盆腔淋巴结阳性11例,占总数的12.5%;髂总深部淋巴结阳性3例,占盆腔淋巴结转移总数的27.3%,其中单独髂总深部淋巴结阳性1例,占盆腔淋巴结转移总数的9.0%。单侧盆腔淋巴清扫平均手术时间为43 min,单侧髂总深部淋巴结切除平均手术时间为10 min。手术无重大并发症发生。【结论】腹腔镜下髂总深部淋巴结切除是安全可行的,27%的盆腔淋巴结转移患者存在髂总深部淋巴结阳性,我们认为髂总深部淋巴结切除术的推广应用可进一步提高子宫恶性肿瘤的治疗效果。更多还原

【Abstract】 【Objective】 To investigate the value of deep common iliac region lymphadenectomy in treatment ofuterine malignancies.【Methods】88 patients with deep common iliac region lymphadenectomy in Third affiliated hospitalof sun yat-sen university from March 2016 to June 2017 were enrolled in this study. The number of removed lymphnodes、metastatic lymph nodes、operative complication and so on were analyzed.【Results】The number of pelvic lymphnodes resection is from 18 to 52,the average is 26;the number of deep common iliac region lymph nodes resection is from 2 to 16,the average is 5. The number of pelvic lymph node metastasis is 11 and the rate is 12.5%;the number of deepcommon iliac region lymph node metastasis is 3,accounting for 27.3% of the total number of pelvic lymph node metasta-sis,which alone deep common iliac region lymph node positive in 1 case,9.0% of the total number of pelvic lymph nodemetastasis. The average operation time of single pelvic lymph node resection was 43 min and that of single deep commoniliac region lymph nodes was 10 min. There was no severe complication.【Conclusion】Deep common iliac region lymphad-enectomy is feasibility and safety,27% of patients with pelvic lymph node metastasis has positive deep common iliacregion lymph nodes,and we believe that the promotion and application of deep common iliac region lymphadenectomy canfurther improve the therapeutic effect of uterine malignancy.更多还原