强负压吸引治疗颈清扫术后乳糜漏

High negative pressure drainage for chylous fistula after neck dissection

目的:探讨强负压吸引对颈淋巴结清扫术后乳糜漏的治疗作用。方法:回顾性分析245例头颈部恶性肿瘤颈淋巴结清扫术后4例乳糜漏患者的临床资料,对4例患者进行保守治疗,低脂饮食,持续强负压吸引(压力一般在-35^-50 kPa之间),强负压吸引时最大引流量达600 ml/d,局部适当加压包扎。结果:颈淋巴结清扫术后乳糜漏的发生率为1.63%(4/245),4例患者均在2周内治愈。结论:及早发现颈淋巴结清扫术后乳糜漏,强负压吸引,适当加压包扎是治疗乳糜漏较为安全有效的方法。

Objective： To investigate the therapeutic effect of high negative pressure drainage for chylous fistula after neck dissection. Methods： A total of 245 cases were subjected to neck dissection. Among them, 4 cases produced chylous fistula. Then they were subjected to high negative pressure drainage and local pressure dressing. The maximal production of chylous fistula was about 600 ml/d. Results： The occurrence rate of chylous fistula after neck dissection was 1. 63 % （4/245）. After high negative pressure drainage and local pressure dressing, all were cured in two weeks. Conclusion： Early diagnosis and high negative pressure drainage and local pressure dressing for chylous fistula is effective and safe .