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颈淋巴结清扫手术后乳糜漏的处理 被引量:23

The clinical management of the chylous fistula after neck dissection
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摘要 目的 :探讨颈淋巴结清扫手术后乳糜漏的处理方法。方法 :回顾分析颈淋巴结清扫手术 12 85例术后发生乳糜漏 2 1例的临床资料。结果 :乳糜漏的发生率为 1.6 % ,18例经保守治疗治愈 ,3例经再次手术治愈。结论 :对颈淋巴结清扫术后的乳糜漏应及早诊断 。 Objective:To investigate the management of the chylous fistula after neck dissection.Method: 1285 cases were performed neck dissection,among them,21 had chylous fistula were retrospectively analyzed. Result:The occurrence rate of chylous fistula was 1.6%(21/1285),18 accepted conservative treatment without reoperation,3 cases were reoperated successfully.Conclusion: The main points of the management for chylous fistula are prevention in operation,early diagnosis and management in time.
出处 《山东医大基础医学院学报》 2002年第2期85-86,共2页
关键词 颈淋巴结切除术 乳糜漏 病例研究 头颈部肿瘤 Neck lymphnode excision Chylous fistula Case studies
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参考文献4

  • 1Crumley RL, Smith JD.Postoperative chylous fistula: Prevention and management[J].Laryngoscope, 1976,86:804-813.
  • 2De Gier HHW, Balm AJ, Bruning PF, et al.Systematic approach to the treatment of chylous leakage after neck dissection [J].Head Neck,1996,18:347-351.
  • 3Levent Erisen,Gonca Yircali,Atilla Mescigoglu, et al.Quantitive analysis of the drainage after neck dissection[J].Otolaryngol Head and Neck Surgery,2000,123:603-606.
  • 4Rodger GK, Johnson JT, Petruzzelli GJ,et al.Lipid and volume analysis of neck drainage in patients undergoing neck dissection[J].Am J Otolaryngol,1992,5:306-309.

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