经腹股沟结内淋巴管造影用于腹盆腔创伤性淋巴漏  

Inguinal intranodal lymphangiography for abdominal and pelvic cavity traumatic lymphatic leakages

作　　者：张明清 孙兴伟[1] 张健[1] 白旭明[1] 靳勇[1] ZHANG Mingqing;SUN Xingwei;ZHANG Jian;BAI Xuming;JIN Yong(Department of Intervention,the Second Affiliated Hospital of Soochow University,Suzhou 215004,China)

机构地区：[1]苏州大学附属第二医院介入科,江苏苏州215004

出　　处：《中国介入影像与治疗学》2024年第5期281-284,共4页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的观察经腹股沟结内淋巴管造影用于腹盆腔创伤性淋巴漏患者的疗效及其安全性。方法回顾性分析12例经保守治疗无效的腹盆腔创伤性淋巴漏患者,均接受经腹股沟结内淋巴管造影;记录临床表现、疗效及并发症。结果12例共接受21次经腹股沟结内淋巴管造影,其中5例接受单次、6例接受2次、1例接受4次造影;造影技术成功率100%。造影后,12例中,7例(7/12,58.33%)治愈、5例(5/12,41.67%)无效。经腹股沟结内淋巴管造影并发症发生率为14.29%(3/21),包括慢性腹泻2例次、穿刺点疼痛1例次;未见严重并发症。结论经腹股沟结内淋巴管造影对腹盆腔创伤性淋巴漏具有一定治疗效果,且安全性较高。Objective To observe the therapeutic effect and safety of inguinal intranodal lymphangiography in patients with abdominal and pelvic cavity traumatic lymphatic leakages.Methods Data of 12 patients with abdominal and pelvic cavity traumatic lymphatic leakages after ineffective conservative treatment and underwent inguinal intranodal lymphangiography were retrospectively analyzed.The clinical manifestations,therapeutic effects and complications were recorded.Results Totally 21 times of inguinal intranodal lymphangiography were performed in 12 patients,including 5 cases received 1 time,6 cases received 2 times and 1 case received 4 times,and the technical success rate of inguinal intranodal lymphangiography was 100%.After inguinal intranodal lymphangiography,7 cases(7/12,58.33%)were cured while 5 cases(5/12,41.67%)were not cured.The incidence of complications of inguinal intranodal lymphangiography was 14.29%(3/21),including chronic diarrhea after 2 times and puncture point pain in 1 case.No serious complication occurred.Conclusion Inguinal intranodal lymphangiography had certain therapeutic effect and high safety for abdominal and pelvic cavity traumatic lymphatic leakages.

关 键 词：淋巴系统疾病 手术后并发症 淋巴造影术 栓塞 治疗性 

分 类 号：R322.26[医药卫生—人体解剖和组织胚胎学] R445[医药卫生—基础医学]