两种不同方法治疗乳糜尿的临床效果评价

To evaluate the clinical effect of chyluria with two different methods

目的:评价硝酸银肾盂冲洗和肾蒂淋巴管剥离术对乳糜尿治疗的临床效果。方法:收集10年多来用两种方法治疗的病例共53例,其中硝酸银冲洗组22例,肾蒂淋巴管剥离术组31例,通过分析两组的乳糜尿复发率和复发时间的差异,对其临床效果加以评价和分析。结果:肾蒂淋巴管剥离术无论在乳糜尿的复发率还是复发时间方面,均明显优于硝酸银肾盂冲洗法(P<0.01)。结论:硝酸银肾盂冲洗方法治疗乳糜尿,有简便易行和损伤小的优点,但复发率高,复发时间早;肾蒂淋巴管剥离手术治疗乳糜尿有更好的疗效。

Objective： To evaluate the clinical effect of chyluria with different methods,flushing pelvis with argenti nitras and nephrolympholysis. Methods ： 53 cases of chyluria devied into two groups,recived the treament with these two different methods,then observed the rate of chyluria recurrence. Results：45.5%（10/22）cases which treated by flushing pelvis with argenti nitras were observed chyluria recurrence in a short time（average 1.3months）, hut only two cases（2/31,6.5%） were found chyluria recurrence of opposite side kidney in the nephrolympholysis group. Conclusions ： nephrolympholysis is a safe and effective treament with chylria, better than flushing pelvis with argenti nitras.