粘贴式负压冲洗治疗颈淋巴结清扫术后乳糜瘘20例临床分析

Treatment for Chylous Fistula after Neck Dissection with Adhesive Vacuum Assisted Washing and Aspiration

目的探讨粘贴式负压冲洗在颈淋巴结清扫术后并发乳糜瘘治疗中的作用。方法回顾性分析我院2004年1月至2010年12月期间20例颈淋巴结清扫术后并发乳糜瘘患者的临床资料。结果 20例患者中18例经粘贴式负压冲洗后,在5d内引流量明显减少,住院时间10～12d,平均11.3d;在治疗过程中未出现感染、水肿、皮肤破溃等并发症。另外2例经粘贴式负压冲洗治疗无效,转为手术治疗,分别于术后15d及17d痊愈出院。结论粘贴式负压冲洗是治疗颈淋巴结清扫术后乳糜瘘的较为有效、理想的方法,具有创伤小,愈合时间短,费用少,患者较易接受等优点。

Objective To evaluate the role of the treatment for chylous fistula after neck dissection with adhesive vacuum assisted washing and aspiration. Methods From January 2004 to December 2010,20 patients with chylous fistula after neck dissection treated with adhesive vacuum assisted washing and aspiration were reviewed. Results Eighteen of 20 recovered in 10 to 12 days＇ treatment without any complications.Drainage volume bagan to decrease noticeably in 5 days.Two patients needed reoperation and were discharged on day 15 and 17 respectively after operation. Conclusion The treatment with adhesive vacuum assisted washing and aspiration is a safe and effective way for chylous fistula after neck dissection.