摘要
目的探讨甲状腺癌颈淋巴结清扫术后淋巴瘘的防治措施。方法回顾性分析吉林大学中日联谊医院2004年1月至2009年4月9例颈清扫术后淋巴瘘患者的临床资料。结果9例患者中表现为左侧乳糜瘘3例，右侧乳糜瘘1例，乳糜胸1例，颈部淋巴瘘伴胸腔淋巴积液1例，其他3例均为淡黄色淋巴液，均通过保守治疗治愈。结论熟悉颈部淋巴管道的解剖，术中仔细操作，掌握淋巴瘘预防要点，多数淋巴瘘经综合非手术治疗措施能够获得治愈。
Objective To analyze prevention and management of lymphatic fistula after cervical lymph node dissection in thyroid carcinoma. Methods Clinical data of 9 cases of lymphatic fistula following neck dissection were analyzed retrospectively from Jan. 2004 to Apr. 2009. Results Of the 9 eases, 4 cases had chylous fistula （3 were on the leftside and 1 was on the rightside）, 1 case had chylothorax, 1 case had pleural effusion lymph, and 3 cases showed light yellow lymph, All patients were cured finally by conservative methods. Conclusions Most lymphatic fistula can be cured by non-surgical treatment. Surgeons need to be familiar with the anatomic structure of neck lymphatic vessels.
出处
《中华内分泌外科杂志》
CAS
2011年第3期194-196,共3页
Chinese Journal of Endocrine Surgery
关键词
甲状腺癌
淋巴瘘
手术治疗
Thyroid Carcinoma
Lymphatic fistula
Surgical treatment
