Petru E, Tamussino K, Lahousen M, Winter R, Pickel H, Haas J
Department of Obstetrics and Gynecology, University of Graz, Austria.
Am J Obstet Gynecol. 1989 Oct;161(4):937-41. doi: 10.1016/0002-9378(89)90757-6.
To determine the incidence and clinical import of lymphocysts after radical gynecologic surgery including lymphadenectomy, we reviewed the records of 173 patients with cervical cancer and 135 patients with ovarian cancer who were followed up by computed tomography. Lymphocysts were found in 35 (20%) and 43 (32%) of the patients, respectively. Patients with cervical cancer and positive lymph nodes had a significantly higher rate of lymphocyst formation than did those with negative nodes (29% versus 14%, respectively, p less than 0.02). Age, type of lymphadenectomy, volume of fluid furthered by postoperative drains, disease stage, and tumor histology were not related to lymphocyst development. We saw no complications strictly attributable to lymphocysts. The clinical import and treatment possibilities are discussed.
为了确定包括淋巴结清扫术在内的根治性妇科手术后淋巴囊肿的发生率及临床意义，我们回顾了173例宫颈癌患者和135例卵巢癌患者的记录，这些患者均接受了计算机断层扫描随访。分别在35例（20%）宫颈癌患者和43例（32%）卵巢癌患者中发现了淋巴囊肿。有阳性淋巴结的宫颈癌患者淋巴囊肿形成率显著高于有阴性淋巴结的患者（分别为29%和14%，p<0.02）。年龄、淋巴结清扫术类型、术后引流引出的液体量、疾病分期和肿瘤组织学与淋巴囊肿的发生无关。我们未观察到严格归因于淋巴囊肿的并发症。本文讨论了其临床意义及治疗可能性。
