朱丽君 曾宇晖 黄晓娟

[摘要] 目的 觀察大黄芒硝外敷在妇科恶性肿瘤患者淋巴结切除术后淋巴囊肿中的治疗效果及安全性。 方法 选取2017年3月至2020年3月本院收治的于淋巴结切除术后出现淋巴囊肿的50例妇科恶性肿瘤患者作为研究对象。以随机、单盲法均分为两组，每组各25例。两组患者均采用单纯抗感染治疗，观察组在此基础上增加大黄芒硝外敷治疗。观察两组治疗效果及安全性。 结果 观察组治疗总有效率高于对照组，差异有统计学意义（P<0.05）。观察组局部肿胀消失时间、囊肿消退时间短于对照组，差异有统计学意义（P<0.05）。观察组囊肿直径短于对照组，差异有统计学意义（P<0.05）。观察组术后3、7及14 d的VAS评分均持续下降，且低于对照组，差异有统计学意义（P<0.05）。观察组感染发生率低于对照组（P<0.05），皮肤红肿和皮肤瘙痒发生率比较，差异无统计学意义（P>0.05）。 结论 妇科恶性肿瘤患者实施淋巴结切除术后常发生淋巴囊肿并发症，在常规治疗基础上采用大黄芒硝外敷治疗，可有效消除患处疼痛，预防感染，缩短术后恢复时间。且不会引发严重不良反应，临床用药安全性高。

[关键词] 妇科恶性肿瘤;淋巴结切除术;淋巴囊肿;大黄芒硝外敷;疼痛;不良反应

[中图分类号] R619          [文献标识码] B          [文章编号] 1673-9701（2021）07-0070-04

The therapeutic effect and safety of rhubarb and mirabilite external application for lymphatic cysts after lymphadenectomy in patients with gynecological malignancies

ZHU Lijun   ZENG Yuhui   HUANG Xiaojuan

Department of Gynecology， Ganzhou Maternal and Child Health Hospital in Jiangxi Province， Ganzhou   341000， China

[Abstract] Objective To observe the efficacy and safety of external application of rhubarb and mirabilite for lymphatic cysts after lymphadenectomy in patients with gynecological malignancies. Methods A total of 50 cases of gynecological malignant tumor patients with lymphocyst after lymphadenectomy in our hospital from March 2017 to March 2020 were selected as the research objects. They were divided into two groups using a randomized and single-blind method， with 25 cases in each group. Both groups of patients were treated with pure anti-infection treatment. The observation group added rhubarb and mirabilite external application treatment on this basis. The treatment effect and safety of the two groups were observed. Results The total effective rate of the observation group was higher than that of the control group， the difference was statistically significant（P<0.05）. The disappearance time of local swelling and cyst in the observation group were shorter than those in the control group， the differences were statistically significant（P<0.05）. The diameter of cyst in the observation group was shorter than that in the control group， the differences were statistically significant（P<0.05）. The VAS scores of the observation group continued to decline at 3， 7 and 14 days after operation， and were lower than those of the control group， the differences were statistically significant（P<0.05）. The incidence of infection in the observation group was lower than that in the control group（P<0.05）， and there was no significant difference in the incidence of skin redness and itching（P>0.05）. Conclusion Patients with gynecological malignant tumors often have lymphatic cyst complications after lymphadenectomy. On the basis of conventional treatment， external application of rhubarb and mirabilite can effectively eliminate pain in the affected area， prevent infection， and shorten postoperative recovery time. It will not cause severe adverse reactions， and the safety of clinical medication is high.

[Key words] Gynecological malignant tumor; Lymphadenectomy; Lymphatic cyst; Rhubarb mirabilite external application; Pain; Adverse reactions

妇科恶性肿瘤包括宫颈癌、子宫内膜癌、卵巢癌等恶性病变。该疾病对患者的生命健康和生存质量均有严重的影响。外科手术是治疗宫颈癌常用的手段，手术过程中，需要對淋巴结进行切除并清扫，防止出现远处转移，以延长患者生存期限。但在实施淋巴结切除术过程中会造成各种并发症，淋巴囊肿就是其中一种常见并发症。对于淋巴结囊肿，一般采取超声介入术治疗，可有效消除囊肿，促进患者机体术后尽快恢复[1]。而治疗后会并发感染等不良事件，延缓术后恢复进程。……