Porpiglia F, Bellina M, Tarabuzzi R, Mari M, Destefanis P, Poggio M, Fiori C, Fontana D
Divisione Universitaria di Urologia, Dipartimento di Scienze Cliniche e Biologiche, Università degli Studi di Torino, Azienda Ospedaliera San Luigi Gonzaga, Orbassano TO.
Arch Ital Urol Androl. 2000 Dec;72(4):194-6.
Pelvic lymphoceles, occurred in patients undergone radical retropubic prostatectomy, are believed to increase the risk of deep venous thrombosis and so thromboembolic complications. The authors' aim is to evaluate the usefulness of pelvic ultrasonography in the diagnosis and in the possible early treatment of pelvic lymphoceles. Fifty-eight patients undergone radical prostatectomy and pelvic lymphadenectomy, between January '98 and December '99, underwent a pelvic ultrasonography in VII post-operative day. When a symptomatic or large (over 5 cm) lymphocele was found, it was treated with ultrasound (US) guided drainage. In the study, the following parameters were considered: lymphocele occurrence, size, location and treatment and thromboembolic complication. Statistical analysis was carried out with Fisher's exact test. Pelvic US showed a lymphocele in 23 out of 58 (40%) patients. Mean size was 5 cm. Deep venous thrombosis occurred in 4 patients, all with pelvic lymphoceles. No thromboembolic complications were recorded. In our experience, pelvic ultrasound has shown to be an easy e reliable tool for diagnosis and percutaneous treatment of pelvic lymphoceles.
盆腔淋巴囊肿发生于接受耻骨后根治性前列腺切除术的患者，被认为会增加深静脉血栓形成以及血栓栓塞并发症的风险。作者的目的是评估盆腔超声检查在盆腔淋巴囊肿诊断及可能的早期治疗中的作用。1998年1月至1999年12月期间，58例接受根治性前列腺切除术及盆腔淋巴结清扫术的患者在术后第7天接受了盆腔超声检查。当发现有症状的或较大（超过5cm）的淋巴囊肿时，采用超声引导下引流进行治疗。在该研究中，考虑了以下参数：淋巴囊肿的发生、大小、位置、治疗及血栓栓塞并发症。采用Fisher精确检验进行统计分析。盆腔超声检查显示58例患者中有23例（40%）存在淋巴囊肿。平均大小为5cm。4例患者发生深静脉血栓形成，均伴有盆腔淋巴囊肿。未记录到血栓栓塞并发症。根据我们的经验，盆腔超声已被证明是诊断和经皮治疗盆腔淋巴囊肿的一种简便且可靠的工具。
