肾移植术后淋巴漏24例  

Lymphatic fistula after renal transplantation （report of 24 cases）

作　　者：杨庆[1] 王梁[1] 王林辉[1] 杨波[1] 苏明[1] 陈文政[1] 孙颖浩[1] 

机构地区：[1]第二军医大学附属长海医院泌尿外科 ,上海200433

出　　处：《中华器官移植杂志》2007年第4期201-202,共2页Chinese Journal of Organ Transplantation

摘　　要：目的 探讨肾移植患者术后发生淋巴漏的原因及治疗方法。方法 回顾性分析1999年1月至2004年12月间24例肾移植术后淋巴漏患者的临床资料，总结其发生原因和治疗方法。结果 24例患者发生淋巴漏的持续时间均〉2周，其中5例超过1个月。通过持续引流，并辅以抗生素预防感染，19例患者于治疗15-22d后痊愈；其余5例持续引流4周，引流量始终〉100ml／d，经引流管注入葡萄糖和注射用红霉素共50ml进行硬化治疗，隔日1次，经2～8次治疗后，引流量逐渐减少，分别于术后35-54d治愈出院。术后随访4个月～6年，均未发现淋巴囊肿。结论 肾移植手术操作失误和急性排斥反应是发生淋巴漏的主要原因。采用持续引流及硬化疗法可有效治疗肾移植后淋巴漏。Objective To investigate the cause and therapatic method of lymphatic fistula after renal transplantation. Method The clinical data of the patients with lymphatic fistula following renal transplantation were retrospectively analyzed in our department between January 1999 and December 2004. Results Twenty-four patients suffered from post-transplantation lymphatic fistula for over 2 weeks, and 5 cases of them exceeded 1 month. Nineteen cases were cured after 15-22 days through drainage and antibiotics. The rest were drainaged over 100 ml for 4 weeks, then the drainage decreased slowly after 2-8 times sclerotherapy （glucose and erythromycin, 50 ml, qod） and the patients discharged finally after 35-54 days. All patients were followed up for 4 months to 6 years, and no patients had a symptomatic lymphocele. Conclusions The operation and acute rejection are the main causes of lymphatic fistula. The drainage and slcerotherapy may treat effectively post-transplantation lymphatic fistula.

关 键 词：肾移植 手术后并发症 淋巴 

分 类 号：R686[医药卫生—骨科学]