CAJ | 학술논문

目的应用淋巴显像及术中γ探测结合专利蓝Ⅴ染色探测切口内淋巴结与淋巴管,能在术中及时避免并发现切口内淋巴结及淋巴管的损伤,并采取有效措施避免术后切口淋巴瘘的发生.方法将符合纳入标准的患者分为实验组和对照组各20例,实验组均应用核素扫描并专利蓝Ⅴ示踪技术进行早期诊断和干预治疗,而对照组不施行该项技术,比较两组术后切口淋巴液日均引流量和总引流量、拔管时间以及淋巴瘘的发生率.结果实验组术后4d切口淋巴液总引流量为(125.1±23.7)ml,对照组为(369.9±31.7) ml,两者比较总引流量减少59.6％ (P ＜0.05)；实验组无1例发生淋巴瘘,对照组有2例发生淋巴瘘；发生淋巴瘘患者引流管留置天数为(10.2±2.5)d,术后住院天数为(19.5±4.5)d,伤口并发症1例(50％),无淋巴瘘患者引流管留置天数为(3.5±0.8)d,术后住院天数为(7.6±1.2)d,伤口并发症人数为0,两者比较差异有统计学意义(P＜0.01).结论应用核素扫描并专利蓝Ⅴ示踪技术处理的患者较对照组淋巴瘘的发生率低(P＜0.05),且切口淋巴引流量明显减少,拔管时间缩短.
목적 응용림파현상급술중γ탐측결합전리람Ⅴ염색탐측절구내림파결여림파관,능재술중급시피면병발현절구내림파결급림파관적손상,병채취유효조시피면술후절구림파루적발생.방법 장부합납입표준적환자분위실험조화대조조각20례,실험조균응용핵소소묘병전리람Ⅴ시종기술진행조기진단화간예치료,이대조조불시행해항기술,비교량조술후절구림파액일균인류량화총인류량、발관시간이급림파루적발생솔.결과 실험조술후4d절구림파액총인류량위(125.1±23.7)ml,대조조위(369.9±31.7) ml,량자비교총인류량감소59.6％ (P ＜0.05)；실험조무1례발생림파루,대조조유2례발생림파루；발생림파루환자인류관류치천수위(10.2±2.5)d,술후주원천수위(19.5±4.5)d,상구병발증1례(50％),무림파루환자인류관류치천수위(3.5±0.8)d,술후주원천수위(7.6±1.2)d,상구병발증인수위0,량자비교차이유통계학의의(P＜0.01).결론 응용핵소소묘병전리람Ⅴ시종기술처리적환자교대조조림파루적발생솔저(P＜0.05),차절구림파인류량명현감소,발관시간축단.
Objective To evaluate the clinical effect of radioclide imaging and Patent Blue Ⅴ on lymphorrhea after operations in fold inguen' s space.To use radioclide imaging and Patent Blue Ⅴ to prevent or cure lymphorrhea,so we can lower the incidence of lymphorrhea at the most.Methods Fourty patients undergoing operated in fold inguen' s space were randomized into two group:control group (n =20) without using radioclide imaging and Patent Blue Ⅴ and treatment group (n =20) with this technology applied to the dissection area at the begin of the surgical procedure.For each group,the mean daily postoperative drainage volume,the mean cumulative drainage quantity 4 days after operation and the incidence of lymphorrhea were reported.The analysis was used to evaluate the medical effect of using radioclide imaging and Patent Blue Ⅴ in surgery in fold inguen' s space.It was logical to hope that application of Radioclide imaging and Patent Blue Ⅴ after operations in fold inguen' s space would reduce lymphorrhea.Results The mean daily postoperative drainage was significantly greater in control group (P ＜ 0.05).The mean cumulative drainage quantity 4 days after the operation was (125.1 ±23.7) ml and (369.9 ± 31.7) ml in treatment group and control group respectively,the reduction of cumulative drainage was 59.6％ (P ＜0.05).The incidence of lyrnphorrhea was 0％ (0 cases) and 10％ (2 cases) in treatment group and control group respectively.(P ＜ 0.05).One wound complications (50％) occurred in patients with postoperative lymphorrhea,and 0 (0％) occurred in those without postoperative lymphorrhea (P ＜ 0.01).The total drainage duration and mean postoperative hospital stay was (10.2 ± 2.5) and (19.5 ± 4.5) days in lymphorrhea group,there were (3.5 ± 0.8) and (7.6 ± 1.2) days in goupe without lymphorrhea (P ＜0.05).Conclusion Radioclide imaging and Patent Blue Ⅴ can reduce the daily and total cumulative postoperative drainage volume,and decrease the incidence of postoperative lymphorrhea after operation in fold inguen' s space.