超声引导下经会阴穿刺置管引流治疗盆腔淋巴囊肿的疗效观察  

Efficacy of ultrasound-guided transperineal approach for drainage of pelvic lymphatic cyst

作　　者：黄海锋[1] 张胜捷[1] 张帆[1] 张士伟[1] 郭宏骞[1] HUANG Haifeng;ZHANG Shengjie;ZHANG Fan;ZHANG Shiwei;GUO Hongqian(Department of Urology/Nanjing University Research Institute of Urology,Nanjing Drum Tower Hospital,The Affiliated Hospital of Nanjing University Medical School,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院泌尿外科,南京大学泌尿外科学研究所,江苏南京210008

出　　处：《现代泌尿外科杂志》2023年第11期984-987,共4页Journal of Modern Urology

摘　　要：目的探讨超声引导下经会阴穿刺置管引流治疗盆腔淋巴囊肿的疗效。方法对临床保守治疗无效的26例盆腔深部淋巴囊肿患者行经直肠超声引导下经会阴穿刺抽液加置管引流,观察患者的症状、收集实验室和影像学检查等资料评估疗效。结果26例患者在经直肠超声引导下均一次穿刺置管引流成功,未发生严重并发症。26例患者中24例置管引流后48 h内症状缓解,2例持续引流3周后拔管。26例患者治愈19(73.1%)例,有效7(26.9%)例,总有效率100%。结论经直肠超声引导下经会阴置管引流是一种安全有效的治疗盆腔淋巴囊肿的方法。Objective To evaluate the efficacy of ultrasound-guided transperineal puncture and drainage in the treatment of pelvic lymphatic cyst.Methods A total of 26 patients with pelvic lymphocele who failed with conservative treatment received transperineal puncture and drainage guided by rectal ultrasound.Results All operations were successful without serious complications.The symptoms in 24 patients relieved within 48 hours after catheter drainage,and 2 patients had the catheter removed after continuous drainage for 3 weeks.Of the 26 patients,19(73.1%)were cured and 7(26.9%)were relieved.The total effective rate was 100%.Conclusion Transperineal drainage guided by rectal ultrasound is a safe and effective treatment for pelvic lymphocele.

关 键 词：盆腔淋巴结清扫 淋巴囊肿 超声引导经会阴穿刺 引流 

分 类 号：R737[医药卫生—肿瘤]