100例腹股沟淋巴结清扫术的临床分析  

Lymph node dissection in 100 malignancies using inguinal

作　　者：师英强[1] 傅红[1] 赵广法[1] 周烨[1] 杜春燕[1] 

机构地区：[1]复旦大学肿瘤医院,上海00032

出　　处：《中国骨肿瘤骨病》2007年第2期65-67,共3页Chinse Journal Of Bone Tumor And Bone Disease

摘　　要：目的探讨腹股沟淋巴结清扫术在不同癌肿中的意义。方法回顾性分析2000～2006年间本院收治的100例腹股沟淋巴结清扫术患者,其中恶性黑色素瘤78例,软组织肉瘤8例,直肠肛管腺癌12例,其他2例。结果全部患者均行腹股沟淋巴结清扫术,极少病例发生炎症,淋巴管炎及下肢水肿,100例中共有47例证实为淋巴结转移,共清扫654枚淋巴结,其中192枚(29%)为转移。47例有淋巴结转移组随访,27例健在,20例死亡。结论某些恶性黑色素瘤病例实施腹股沟淋巴结清扫术是安全及必要的,今后应根据AJCC制定的新分期确定治疗方案。Objective To evaluate the surgical technique and values of inguinal lymph node dissection in some malignancies. Methods This is a retrospective study of patients with malignancies who underwent surgical resection and inguinal lymph node dissection. There were 78 melanomas and 8 soft tissue sarcomas and 12 rectal carcinoma and 2 others diseases. Results The hospitalization days were 7- 61 after lymph node dissection and some complications occurred including inflammation and lymph edema. Forty-seven patients （47%） confirmed lymph nodes metastasis. The total 654 lymph nodes were identified 192（29%） had metastasis. Of all 47 metastatic patients, 27 were survival and 20 dead. Conclusions Some melanomas patients receiving lymph node dissection is safe and necessary . Surgical skill is very important to prevent complications.

关 键 词：腹股沟淋巴结清扫术 恶性黑色素瘤 淋巴结转移 

分 类 号：R730.5[医药卫生—肿瘤]