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目的 探讨盆腔后腹膜无缝合法在妇癌淋巴结清扫术的应用价值。方法 对 2 18例包括淋巴结清除术在内的各妇癌手术病例进行回顾分析 ,比较了盆腔后腹膜缝合组与无缝合组的术前、术中、术后状况以及并发症的发生率。结果 盆腔后腹膜无缝合法 ,能减少引流管保留天数 ,缩短发热期间和降低淋巴囊肿的发生率。结论 (1)盆腔淋巴结清扫术后 ,后腹膜的缝合可以省略 ;(2 )后腹膜无缝合有降低淋巴囊肿发生的可能性
Objective To investigate the value of seamless pelvic retroperitoneal lymph node dissection in gynecological cancer. Methods A retrospective analysis of 218 cases of gynecological cancer including lymph node dissection was conducted. The preoperative, intraoperative, postoperative conditions of pelvic retroperitoneal suture group and the seamless group were compared with the incidence of complications. Results The retroperitoneum of the pelvis was seamless, which could reduce the days of drainage tube retention, shorten the period of fever and reduce the incidence of lymphatic cyst. Conclusions (1) After pelvic lymph node dissection, the peritoneal suture can be omitted. (2) The retroperitoneal complications of the retroperitoneum can reduce the possibility of lymphocele.