中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
13期
60-61
,共2页
外阴恶性肿瘤%大隐静脉%淋巴结清扫术%并发症
外陰噁性腫瘤%大隱靜脈%淋巴結清掃術%併髮癥
외음악성종류%대은정맥%림파결청소술%병발증
Malignant tumor of vulva%The great saphenous vein%Lymphadenectomy%Complication
目的：通过保留大隐静脉的外阴恶性肿瘤腹股沟淋巴结清扫术与外阴恶性肿瘤传统手术方式术后并发症的比较，探讨前者的临床应用价值。方法：将2009年1月-2011年12月外阴癌手术患者随机分为两组，研究组12例行腹股沟淋巴结清扫术时保留双侧大隐静脉主干，对照组12例结扎、切除一段大隐静脉。对两组患者的手术时间、术中出血量、术后急慢性并发症及复发率进行比较。结果：两组患者的手术时间、出血量、术后复发率差异均无统计学意义(P＞0.05)，研究组的切口愈合时间、下肢水肿、急性静脉炎、下肢血栓等并发症的发生率明显低于对照组(P＜0.05)。结论：保留大隐静脉的外阴恶性肿瘤腹股沟淋巴结清扫术不增加手术难度，不延长手术时间，不增加复发率，但是能明显地降低术后多种并发症的发生，改善患者的生活质量，在临床上有极高的应用推广价值。
目的：通過保留大隱靜脈的外陰噁性腫瘤腹股溝淋巴結清掃術與外陰噁性腫瘤傳統手術方式術後併髮癥的比較，探討前者的臨床應用價值。方法：將2009年1月-2011年12月外陰癌手術患者隨機分為兩組，研究組12例行腹股溝淋巴結清掃術時保留雙側大隱靜脈主榦，對照組12例結扎、切除一段大隱靜脈。對兩組患者的手術時間、術中齣血量、術後急慢性併髮癥及複髮率進行比較。結果：兩組患者的手術時間、齣血量、術後複髮率差異均無統計學意義(P＞0.05)，研究組的切口愈閤時間、下肢水腫、急性靜脈炎、下肢血栓等併髮癥的髮生率明顯低于對照組(P＜0.05)。結論：保留大隱靜脈的外陰噁性腫瘤腹股溝淋巴結清掃術不增加手術難度，不延長手術時間，不增加複髮率，但是能明顯地降低術後多種併髮癥的髮生，改善患者的生活質量，在臨床上有極高的應用推廣價值。
목적：통과보류대은정맥적외음악성종류복고구림파결청소술여외음악성종류전통수술방식술후병발증적비교，탐토전자적림상응용개치。방법：장2009년1월-2011년12월외음암수술환자수궤분위량조，연구조12례행복고구림파결청소술시보류쌍측대은정맥주간，대조조12례결찰、절제일단대은정맥。대량조환자적수술시간、술중출혈량、술후급만성병발증급복발솔진행비교。결과：량조환자적수술시간、출혈량、술후복발솔차이균무통계학의의(P＞0.05)，연구조적절구유합시간、하지수종、급성정맥염、하지혈전등병발증적발생솔명현저우대조조(P＜0.05)。결론：보류대은정맥적외음악성종류복고구림파결청소술불증가수술난도，불연장수술시간，불증가복발솔，단시능명현지강저술후다충병발증적발생，개선환자적생활질량，재림상상유겁고적응용추엄개치。
Objective:To investigate the comparison of saphenous vein sparing vulva malignancies inguinal lymphadenectomy and the traditional operation mode of vulval carcinoma postoperative complications,to explore the clinical application value.Methods:From January 2009 to December 2011 ,24 cases of vulva cancer operation were randomly divided into two groups:Research group of 12 cases of inguinal lymphadenectomy keep bilateral saphenous vein and control group of 12 cases of ligation removal of some great saphenous vein.The two groups were compared operative time,blood loss,postoperative acute,chronic complications and recurrence rate. Results: The differences of the operative time, blood loss,postoperative recurrence rate of two groups were no statistically significant(P>0.05).The incidence of wound healing time,lower extremity edema,acute phlebitis,thrombosis complications in the preservation of the saphenous vein group was significantly lower than the removal of great saphenous vein group(P<0.05).Conclusion:Saphenous vein sparing vulva malignancies inguinal lymphadenectomy does not increase the operation difficulty,not to extend the operation time,does not increase the recurrence rate,but can significantly reduce the complications after operation,and improve the quality of patients life,so it had a high clinical application value.
