适形半球模体外压迫治疗颈清扫术后乳糜瘘

Conformal hemisphere was adopted to oppression in vitro in the treatment of chylous fistula after neck dissection

目的:评价应用适形半球模压迫锁骨上区治疗26例颈淋巴结清扫术后并发乳糜瘘患者疗效。方法:对我院因甲状腺癌接受颈清术后的26例患者临床资料进行回顾性分析。该组患者并发乳糜瘘并采用适形半球模具锁骨上区压迫法,且自身对照纱布敷料压迫法。结果:甲状腺癌颈清扫术后并发乳糜瘘发生率为2.31%,纱布敷料团局部加压有效率为30.00%,半球模具加压术区持续负压引流80.00%。结论:采用适形半球模具锁骨上压迫治疗颈清扫术后乳糜瘘方法简单,易操作,治疗周期短,疗效显著。可在临床上推广使用。

Objective：To evaluate the application of conformal hemisphere mold forced supraclavicular region in the treatment of 26 cases of cervical lymph node dissection and postoperative patients with chylous fistula.Methods：Clinical data of 26 cases of patients with thyroid carcinoma undergoing neck dissection were retrospectively analyzed.The patients were complicated by chylous fistula and the conformal hemisphere mold supraclavicular region compression and self control gauze dressing compression method were compared.Results：Chylous fistula after thyroid carcinoma undergoing neck dissection occurred in 2.31%. Compression efficiency in local gauze dressing group was 30.00%,and continuous negative pressure drainage in hemisphere pressurizing region was 80.00%.Conclusion：Using the conformal hemisphere mold supraclavicular pressing to treat chylous fistula after neck dissection method is simple,easy,and has short period of treatment.It can be used in clinical practice.