肾癌根治术后乳糜漏6例临床分析  

6 Cases of Chylous Leakage After Radical Nephrectomy

作　　者：孙圣坤[1] 史立新[1] 张磊[1] 李刚[1] 董隽[1] 陈光富[1] 张旭[1] 

机构地区：[1]解放军总医院泌尿外科,北京100853

出　　处：《临床泌尿外科杂志》2010年第9期654-655,共2页Journal of Clinical Urology

摘　　要：目的:探讨肾癌根治术后乳糜漏的原因、诊治及预防方法。方法:回顾性分析6例肾癌根治术后乳糜漏患者的临床资料。结果:肾根治术后乳糜漏的发生率为1.6%,所有乳糜漏均发生在左肾根治术后,经引流、低脂饮食、预防感染等措施治愈。结论:乳糜漏多发生于左侧肾癌根治性切除术后;引流液作乳糜试验可确诊乳糜漏;保守治疗常可获满意效果。Objective：To investigate the etiology, diagnosis and prevention for chylous leakage after radical ne phrectomy. Methods：6 cases of chylous leakage after radical nephreetomy were retrospectively reviewed. Results： The incidence of chylous leakage after radical nephrectomy were 1.6 % and occurred preferentially after nephrectomy of the left side. All the patients healed after prolonged drainage, low lipid diet and anti infection treatment. Conclusions：Chylous leakage prefer to occur after left nephrectomy. Chyle test of the drainage helps to make the diagnosis. Conservative treatment can bring with satisfied results.

关 键 词：肾癌根治术 乳糜漏 

分 类 号：R737.1[医药卫生—肿瘤]