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前哨淋巴结活检技术在早期子宫内膜癌中应用的研究进展

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Author:: No author available

Journal Title:: Chinese Journal of Obstetrics and Gynecology

Issue:: 4

DOI:: 10.3760/cma.j.issn.0529-567x.2017.04.015

Key Word:: No keyword available

Abstract：前哨淋巴结活检(sentinal lymph node biopsy,SLNB)在子宫颈癌及外阴癌中的研究较为深入,其可能逐步取代盆腔及腹主动脉旁淋巴结切除术,用于评估淋巴结转移状况.但SLNB在子宫内膜癌中的研究起步较晚,1996年Burke等[1]首次将SLNB引入到子宫内膜癌的手术中.直到近些年,前哨淋巴结(SLN)在子宫内膜癌中的研究逐渐增多,并有了很大的进展.2008年,国内李斌等[2]也对SLN应用于子宫内膜癌的可行性进行了研究,并认为将蓝色染料用于子宫内膜癌术中识别SLN是可行的.但哪些子宫内膜癌患者可以通过SLNB来评估盆腹腔淋巴结转移状态尚无统一意见,仍需要大样本量前瞻性研究的探索.本文从SLNB成功的影响因素以及SLNB对盆腔及腹主动脉旁淋巴结转移状态的预测价值两方面介绍最新的进展.

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