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目的探讨妇科恶性肿瘤术后盆腔淋巴囊肿的超声表现及其诊断。方法回顾性分析2007年1月至2009年9月妇科恶性肿瘤行淋巴结清扫术后并发盆腔淋巴囊肿11例患者的超声影像特征。结果 11例患者中卵巢癌3例,宫颈癌6例,子宫内膜癌2例。平均年龄50.4岁。淋巴囊肿发现于盆腔术后21～84d,8例有临床症状,3例无症状。其中单侧囊肿8例,双侧3例。囊肿大小(23～65)mm×(28～71)mm。超声检查表现为盆腔或腹股沟区的无回声或液性暗区,内部光点均匀,边界清楚,形态规则。结论发生于妇科恶性肿瘤淋巴结清扫术后的盆腔囊性病变可经超声诊断为淋巴囊肿。
Objective To investigate the ultrasound findings and diagnosis of pelvic lymphocyst after gynecological malignant tumor. Methods The imaging features of 11 patients with pelvic lymphadenectasis who underwent lymphadenectomy from January 2007 to September 2009 were analyzed retrospectively. Results 11 cases of ovarian cancer in 3 cases, 6 cases of cervical cancer, 2 cases of endometrial cancer. The average age of 50.4 years old. Lymphocyst was found in pelvic surgery 21 ~ 84d, 8 patients with clinical symptoms, 3 cases asymptomatic. One unilateral cyst in 8 cases, bilateral in 3 cases. Cyst size (23 ~ 65) mm × (28 ~ 71) mm. Ultrasonographic performance of the pelvic or groin area anechoic or liquid dark area, the internal light spot uniform, clear boundary, the rules of shape. Conclusions The pelvic cystic lesions occurred after lymphadenectomy of gynecologic malignancies can be diagnosed as lymphatic cyst by ultrasound.