颈部淋巴清扫术后严重淋巴漏的非手术治疗体会  

Non-surgical treatment of severe lymphatic leakage after neck dissections

作　　者：俞建东[1] 陈治平[2] 林泽宇 黄晓明[2] 卓宪华 陈琴 钟创越 万云乐[1,2] YU Jiandong;CHEN Zhiping;LIN Zeyu;HUANG Xiaoming;ZHUO Xianhua;CHEN Qin;ZHONG Chuangyue;WAN Yunle(Department of Thyroid and Vascular Surgery;Department of Hepatobiliary-Spleen and PancreaticSurgery,The Sixth Affiliated Hospital,Sun Yat-sen University,Guangzhou,510655,China)

机构地区：[1]中山大学附属第六医院甲状腺血管外科,广州510655 [2]中山大学附属第六医院肝胆胰脾外科,广州510655

出　　处：《岭南现代临床外科》2019年第5期536-540,共5页Lingnan Modern Clinics in Surgery

基　　金：广东省自然科学基金(2015A030310377)

摘　　要：目的探讨非手术综合治疗措施在甲状腺癌颈部清扫术后严重淋巴漏防治中的应用价值。方法回顾性分析两例颈部淋巴结清扫术后严重淋巴漏患者的临床资料和治疗过程,结合国内外文献对严重颈部淋巴漏的防治方法进行探讨。结果通过饮食控制、营养支持、局部加压包扎、负压引流、生长抑素、以及高浓度复方泛影葡胺注射液局部注射等非手术治疗综合措施,可促进颈部淋巴结清扫术后严重淋巴漏患者的愈合。结论饮食控制、营养支持、局部加压包扎、负压引流、生长抑素、以及高浓度复方泛影葡胺注射液局部注射等非手术治疗综合措施,在甲状腺癌颈部淋巴结清扫术后严重淋巴漏的防治中是安全有效的,可作为首选。Objective To evaluate the value of comprehensive non-surgical therapeutic measures in the prevention and treatment of severe lymphoid leakage after neck dissections of thyroid carcinoma.Methods The clinical data and treatment process of two patients with severe lymphoid leakage after neck dissections were analyzed retrospectively. The prevention and treatment methods of severe lymphoid leakage after neck dissections for thyroid carcinoma were discussed in combination with the current literature. Results Through diet control,nutritional support,local pressure bandaging,negative pressure drainage,somatostatin,and local injection of high concentration compound meglumine diatrizoate injection,etc. It can promote the healing of patients with severe lymphoid leakage after neck dissections.Conclusion Non-surgical comprehensive therapeutic measures such as diet control,nutritional support,local pressure drainage,somatostatin,and local injection of high concentration compound meglumine diatrizoate injection,etc. It is safe and effective to prevent and treat severe lymphoid leakage after neck dissections in thyroid carcinoma and can be used as the first choice.

关 键 词：甲状腺癌 颈部淋巴清扫 淋巴漏 治疗 

分 类 号：R736.1[医药卫生—肿瘤]