Sogani P C, Watson R C, Whitmore W F
Urology. 1981 Jan;17(1):39-43. doi: 10.1016/0090-4295(81)90009-1.
Pelvic lymphadenectomy is used widely for staging prostatic or bladder carcinoma. In 9 of 187 patients (4.7 per cent) who underwent bilateral pelvic lymphadenectomy for urologic cancer pelvic lymphocele diveloped. The management of these patients is presented along with review of causes, clinical features, diagnosis, and treatment. Pelvic CT scan is a noninvasive modality which aids in the diagnosis of this complication. Minidose heparin used for prophylaxis of thromboembolic complications may increase lymphocele formation.
盆腔淋巴结清扫术广泛应用于前列腺癌或膀胱癌的分期。在187例因泌尿系统癌症接受双侧盆腔淋巴结清扫术的患者中,有9例(4.7%)出现了盆腔淋巴囊肿。本文介绍了这些患者的治疗情况,并对病因、临床特征、诊断和治疗进行了综述。盆腔CT扫描是一种有助于诊断该并发症的无创检查方法。用于预防血栓栓塞并发症的小剂量肝素可能会增加淋巴囊肿的形成。