腹股沟部淋巴瘘21例治疗体会  

Treatment of 21 Cases of Groin Lymphatic Fistula after Operations

作　　者：张正慧 

机构地区：[1]山东省莱芜市牛泉医院,山东莱芜271124

出　　处：《哈尔滨医药》2010年第6期12-13,共2页Harbin Medical Journal

摘　　要：目的分析手术后发生腹股沟部淋巴瘘的原因和防治方法。方法对21例有腹股沟部淋巴瘘患者进行回顾性研究。结果 21例病人发生了腹股沟部淋巴瘘,其中19例病人进行了保守治疗,2例病人术后早期采用再次手术治疗。结论血管手术后腹股沟部位淋巴瘘的发生可能与腹股沟部进行广泛解剖分离、受损的淋巴管数量、管径、淋巴液回流量和是否感染等有关。手术后腹股沟部位淋巴并发症的重点在于预防;如淋巴瘘持续存在且淋巴引流量较大者最好早期再次行手术治疗。Objective To investigate the causes,prophylaxis and treatment of groin lymphatic fistula（GLF）after operations.Methods A registry for 21 patients of groin lymphatic fistula was reviewed.Results GLF occurred in 21 patients.19 patients of GLF were treated by conservative approaches and 2 patients of GLF were treated by reoperation at early stage after operation.Conclusion The occurrence of GLF after operations may be related to extensive dissection,the number and caliber of disrupted lymphatic vessels,infection and inflammation.Prophylaxis of GLC should be preferred.Early reoperation is advised if the lymphocutaneous fislula is persistent and the quantity of drainage is noticeable.

关 键 词：腹股沟 淋巴瘘 治疗 

分 类 号：R657.8[医药卫生—外科学]