颈淋巴结清扫术后乳糜漏的治疗

Treatment experience of chylous fistula after neck dissection

目的探讨颈淋巴结清扫术后乳糜漏的防治方法。方法回顾性分析了289例颈淋巴清扫手术术后发生乳糜漏11例患者的临床资料。结果乳糜漏的发生率为发生率3.82%,9例经保守治疗治愈,2例经再次手术治愈。结论术者对解剖的熟悉程度和谨慎的手术操作是预防发生乳糜瘘的关键,颈淋巴结清扫术后的乳糜漏应及早诊断,术中应加强预防并及时处理。

：Objective To investigate the management and prevention of the chylous fistula after neck dissection. Methods Totally 289 cases were performed neck dissection, among them, 11 had chylous fistula were retrospectively analyzed. Results The occurrence rate of chylous fistula was 3.82%. 9 cases accepted conservative treatment, and 2 cases were reoperated successfully. Conclusions Technique and familiarity on anatomy with the careful operation is the key to prevent chylous fistula. The main points of the management for chylous fistula are prevention in operation, early diagnosis and management in time.