肝移植术后乳糜腹的诊断与治疗(附2例临床报告)  

Chylous Ascites After Liver Transplantation:A Clinical Report of 2 Cases

作　　者：付贞[1,2] 范林[2] 钟自彪[2] 王彦峰[2] 黄伟[2] 彭贵主[2] 周大为[2] 叶啟发[1,2] FU Zhen;FAN Lin;ZHONG Zibiao;WANG Yanfeng;HUANG Wei;PENG Guizhu;ZHOU Dawei;YE Qifa(The 3rd Xiangya Hospital of Central South University ＆ Research Center of National Health Ministry on Transplantation Medicine Engineering and Technology, Changsha 410013, China;Zhongnan Hospital of Wuhan University, Institute of Hepatobiliary Diseases of Wuhan University Transplant Center of Wuhan University, ＆ Hubei Key Laboratory of Medical Technology on Transplantation,Wuhan 430071, China)

机构地区：[1]中南大学湘雅三医院/卫生部移植医学工程技术研究中心,湖南长沙410013 [2]武汉大学中南医院/武汉大学肝胆疾病研究院/武汉大学移植医学中心/移植医学技术湖北省重点实验室,湖北武汉430071

出　　处：《武汉大学学报（医学版）》2017年第6期913-915,共3页Medical Journal of Wuhan University

基　　金：中南大学中央高校基本科研业务费专项资金资助项目(编号:2016zzts158)

摘　　要：目的:探讨肝移植术后乳糜腹的诊断与治疗方法。方法:回顾性分析2000-2013年我单位收治的2例肝移植术后并发乳糜腹患者的临床资料,分析乳糜腹诊断与治疗的情况,并总结经验。结果:经非手术治疗无效后1例患者改用剖腹探查结扎肝门区淋巴管,另1例患者经穿刺引流后症状缓解。2例乳糜腹患者经治疗后未见其他并发症,预后良好。结论:肝移植术中严密结扎淋巴管,早期、及时治疗术后乳糜腹可获得良好疗效。Objective： To investigate the diagnosis and treatment of chylous ascites after liver transplan- tation. Methods： The clinical data of 2 patients who received liver transplantation in our center from 2000 to 2013 were retrospectively analyzed. The diagnosis and treatment of chylous ascites were analyzed and summarized. Results： Non-operative methods failed to treat the chylous ascites in one case, and lymphatic vessels of hepatic portal were ligated under exploratory laparotomy. Another was treated with percutaneous drainage. Both of them were relieved without complica- tions for a long term follow-up. Conclusion： Rigorous surgical techniques and timely treatment could deserve a long-term survival.

关 键 词：乳糜腹 肝移植 诊治 

分 类 号：R657.3[医药卫生—外科学]