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颈淋巴结清扫手术后乳糜漏的处理

The clinical management of the chylous fistula after neck dissection

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【作者】 房居高李思忠王超陈增谦

【Author】 Fang Jugao, Li Sizhong, Wang Chao, et al (Dept.of Head and Neck Surgery, Shandong Tumor Hospital and Institute,Jinan 250117)

【机构】 山东省肿瘤医院头颈外科山东省肿瘤医院头颈外科 济南250117济南250117济南250117

【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 ,术中应加强预防并及时处理

【Abstract】 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.

  • 【文献出处】 山东医大基础医学院学报 ,Journal of Preclinical Medicine College of Shandong Medical University , 编辑部邮箱 ,2002年02期
  • 【分类号】R737.91
  • 【被引频次】27
  • 【下载频次】362
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