介入胸导管球囊扩张成形治疗乳糜尿1例报告  

Percutaneous balloon plasty for thoracic duct obstruction in a patient with chyluria

作　　者：周文 刘超[1] 水少锋[1] 韩新巍[1] 丁鹏绪[1] Zhou Wen;Liu Chao;Shui Shaofeng;Han Xinwei;Ding Pengxu(Department of Intervention Radiology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院放射介入科,郑州450000

出　　处：《中华泌尿外科杂志》2022年第12期940-941,共2页Chinese Journal of Urology

摘　　要：乳糜尿是一种乳糜异常进入泌尿集合系统所致的少见疾病。传统的治疗包括保守治疗和外科手术。近年来,国外已有应用介入技术治疗乳糜尿的报道。本文报道采用淋巴管造影联合胸导管球囊扩张成形成功治疗由胸导管阻塞导致的乳糜尿患者1例,术后乳糜尿症状完全缓解,为保守治疗或外科手术后无效的乳糜尿患者提供了一种微创、安全、有效的方法。Chyluria is characterized by the presence of chyle in the urine.The most common cause of non-parasitic chyluria is the upstream obstruction of the thoracic duct and reflux of the chyle into the renal collecting system.Traditional treatments include dietary modifications and surgery.The recently developed new interventional technique to treat chyluria.Here,we firstly reported one case of chyluria caused by thoracic duct obstruction in China,which was successful treated with intranodal lymphangiography combined by percutaneous balloon plasty.The symptoms of chyluria were completely relieved after our operation,which provides a minimally invasive,safe and effective method for patients with ineffective chyluria after conservative treatment or surgery.

关 键 词：淋巴造影术 乳糜尿 胸导管扩张成形 球囊 

分 类 号：R696.8[医药卫生—泌尿科学]