肾蒂淋巴管结扎术和RPIS治疗术后复发性重症乳糜尿的疗效  

Effect of ligation of renal lymphatic vessels and renal pelvis infusion sclerosis on recurrent severe chyluria:46 cases observation

作　　者：方先林[1] 蔡维奇[1] 殷忠林 董洁[1] 稽福荣 张绍奇[1] 

机构地区：[1]南京鼓楼医院集团宿迁市人民医院泌尿外科,江苏宿迁223800

出　　处：《海南医学院学报》2009年第12期1561-1563,共3页Journal of Hainan Medical University

基　　金：海南医学院科研基金资助学报项目(0020090271)~~

摘　　要：目的:探讨肾蒂淋巴管结扎术和硝酸银肾孟灌注硬化(RPIS)治疗术后复发性重症乳糜尿的疗效。方法:46例术后复发性重症乳糜尿患者分为两组,采用2%硝酸银肾孟硬化灌注14例(RPIS组)和肾蒂淋巴管结扎术32例,比较两组的成功率、复发率及并发症的发生率。结果:肾蒂淋巴管结扎术疗效优于RPIS,两组成功率和2年内复发率差异有统计学意义(P<0.01),并发症发生率差异有统计学意义(P<0.05)。结论:开放性肾蒂淋巴管结扎术是治疗术后复发性重症乳糜尿首选。Objective：To explore the effect of ligation of renal lymphatic vessels and renal pelvis infusion sclerosis （RPIS） with silver nitrate on recurrent severe chyluria. Methods： Randomly divided 46 recurrent severe chyluria cases into two group： 14 cases with silver nitrate RPIS and 32 cases with ligation of renal lymphatic vessels. Compared the success rate,reccurrence rate and incidence of complication. Results ： Ligation of renal lymphatic vessels had more satisfactory effect, and the differences of success rate （P 〈0.01）, recurrence rate（P 〈0.01） and incidence of complication（P 〈 0.05） between two groups were significant. Conclusion： Ligation of renal lymphatic vessels is the favorable choice for recurrent severe chyluria.

关 键 词：乳糜尿 硝酸银肾孟灌注硬化 肾蒂淋巴管结扎术 

分 类 号：R695.8[医药卫生—泌尿科学]