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淋巴囊肿:超声诊断与泌尿外科处理

Lymphocyst: ultrasound diagnosis and urologic management.

作者信息

Basinger G T, Gittes R F

出版信息

J Urol. 1975 Nov;114(5):740-5. doi: 10.1016/s0022-5347(17)67132-5.

DOI:10.1016/s0022-5347(17)67132-5
PMID:1102731
Abstract

Three cases of lymphocysts occurred in a series of 97 patients undergoing extension pelvic urological operations, an incidence rate of 3.1 per cent. This is the first report of this complication after urological lymphadenectomy. Awareness of the entity is important to urologists since lymphatic staging operations for prostate and bladder carcinoma are widely used to help plan definitive therapy. Athough this complication is rare after renal transplantation it may cause significant interference with graft function. The etiology, symptoms, findings, diagnosis and treatment of this condition are reviewed. Echography is presented as an ideal technique to diagnose the condition and to guide in its management.

摘要

在97例接受扩大盆腔泌尿外科手术的患者中,有3例发生了淋巴囊肿,发病率为3.1%。这是泌尿外科淋巴结清扫术后该并发症的首例报告。由于前列腺癌和膀胱癌的淋巴分期手术被广泛用于辅助确定最终治疗方案,因此对泌尿外科医生来说,了解这种疾病很重要。尽管这种并发症在肾移植后很少见,但它可能会对移植肾功能造成严重干扰。本文对这种疾病的病因、症状、表现、诊断和治疗进行了综述。超声检查被认为是诊断该疾病并指导其治疗的理想技术。

相似文献

1
Lymphocyst: ultrasound diagnosis and urologic management.淋巴囊肿:超声诊断与泌尿外科处理
J Urol. 1975 Nov;114(5):740-5. doi: 10.1016/s0022-5347(17)67132-5.
2
Pelvic lymphocyst--a 10-year experience.盆腔淋巴囊肿——十年经验
Gynecol Oncol. 1988 Mar;29(3):333-6. doi: 10.1016/0090-8258(88)90232-6.
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Lymphocele after pelvic lymphadenectomy for urologic cancer.泌尿外科癌症盆腔淋巴结清扫术后的淋巴囊肿
Urology. 1981 Jan;17(1):39-43. doi: 10.1016/0090-4295(81)90009-1.
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Natural history of pelvic lymphocysts as observed by ultrasonography after bilateral pelvic lymphadenectomy.双侧盆腔淋巴结清扫术后经超声观察的盆腔淋巴囊肿自然病程。
Ultrasound Obstet Gynecol. 2008 Jul;32(1):87-90. doi: 10.1002/uog.5345.
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Management of pelvic lymphocysts by ultrasound-guided aspiration and minocycline sclerotherapy.超声引导下穿刺抽吸联合米诺环素硬化治疗盆腔淋巴囊肿
Gynecol Obstet Invest. 2005;59(3):130-3. doi: 10.1159/000082889. Epub 2004 Dec 22.
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Lymphocele formation after extraperitoneal pelvic lymphadenectomy: possible predisposing factors.腹膜外盆腔淋巴结清扫术后淋巴囊肿的形成:可能的诱发因素。
J Urol. 1986 Sep;136(3):616-8. doi: 10.1016/s0022-5347(17)44994-9.
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Experience with lymphoceles after renal transplantation.肾移植后淋巴囊肿的经验。
Surgery. 1975 Mar;77(3):444-50.
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Para-aortic lymphocyst.主动脉旁淋巴囊肿
Am J Obstet Gynecol. 1980 Oct 15;138(4):395-8. doi: 10.1016/0002-9378(80)90135-0.
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Internal drainage of lymphocele by a pedicled omental flap.
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Perirenal lymphocyst formation in renal transplant recipients: diagnosis and pathogenesis.
Urology. 1976 Jun;7(6):581-6. doi: 10.1016/0090-4295(76)90081-9.

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Trial of ligation versus coagulation of lymphatics in dynamic inguinal sentinel lymph node biopsy for staging of squamous cell carcinoma of the penis.阴茎鳞状细胞癌分期的动态腹股沟前哨淋巴结活检中淋巴管结扎与凝固的试验。
Ann R Coll Surg Engl. 2012 Jul;94(5):344-6. doi: 10.1308/003588412X13171221591899.
2
Complications of pelvic lymph node dissection for prostate cancer.前列腺癌盆腔淋巴结清扫术的并发症。
Curr Urol Rep. 2011 Jun;12(3):203-8. doi: 10.1007/s11934-011-0179-z.
3
Complications of pelvic lymphadenectomy: do the risks outweigh the benefits?
盆腔淋巴结清扫术的并发症:风险是否大于益处?
Rev Urol. 2010 Winter;12(1):20-4.
4
Lymphocele.淋巴囊肿
Ann R Coll Surg Engl. 1993 Nov;75(6):387-92.
5
Sclerotherapy in the treatment of recurrent lymphocele.硬化疗法治疗复发性淋巴管瘤。
Postgrad Med J. 1982 Sep;58(683):573-4. doi: 10.1136/pgmj.58.683.573.
6
Internal drainage of lymphocele by a pedicled omental flap.
Int Urol Nephrol. 1983;15(4):333-8. doi: 10.1007/BF02082553.
7
Mesenteric chylous (lymph-containing) cyst.
Gastrointest Radiol. 1983;8(3):267-9. doi: 10.1007/BF01948131.