妇科恶性肿瘤盆腔淋巴结切除术后淋巴囊肿诊治专家共识(2020年版)

2020-10-20 中国实用妇科与产科杂志.2020.36(10):959-964.

子宫颈癌、子宫内膜癌和卵巢癌是女性生殖系统最常见的三大恶性肿瘤,总体治疗原则是以手术治疗为主,术后依据指征给予相应的辅助治疗。盆腔淋巴结切除术作为妇科恶性肿瘤手术治疗的重要组成部分,在肿瘤的治疗、精准

中文标题:

妇科恶性肿瘤盆腔淋巴结切除术后淋巴囊肿诊治专家共识(2020年版)

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发布日期:

2020-10-20

简要介绍:

子宫颈癌、子宫内膜癌和卵巢癌是女性生殖系统最常见的三大恶性肿瘤,总体治疗原则是以手术治疗为主,术后依据指征给予相应的辅助治疗。盆腔淋巴结切除术作为妇科恶性肿瘤手术治疗的重要组成部分,在肿瘤的治疗、精准分期、术后辅助治疗指导、预后结局判断等方面具有不可或缺的价值。盆腔淋巴囊肿是淋巴结切除术后常见的并发症之一,发生率为23%~65%,其中80%发生于术后2周内,96%发生于术后6周内[2]。绝大多数淋巴囊肿无明显临床症状,无需特殊处理即可自行逐渐吸收。然而,仍有少数淋巴囊肿会引发不同程度的症状,包括局部疼痛、下肢水肿、继发感染、压迫输尿管或血管导致肾盂积水/输尿管扩张甚至下肢静脉血栓等,严重者可影响术后生活质量乃至延迟后续治疗。目前为止,国内外尚缺乏盆腔淋巴囊肿诊治和预防的共识。鉴于此,我们查阅国际及国内相关文献,结合中国国情,组织国内有关专家在严谨讨论的基础上制定本共识,旨在为广大妇科肿瘤工作者提供盆腔淋巴结切除术后淋巴囊肿诊治和预防的有益借鉴。

 

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妇科恶性肿瘤盆腔淋巴结切除术后淋_省略_囊肿诊治专家共识_2020年版_林蓓.pdf
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