| 后腹腔镜肾蒂淋巴管结扎术治疗乳糜尿（附19例报告） |
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| 引用本文： | 朱巍,杨登伦,任春凯,乙从亮,余秋健,陈令秋,唐喆,黄斌.后腹腔镜肾蒂淋巴管结扎术治疗乳糜尿（附19例报告）[J].临床医学,2011,31(5):14-15. |
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| 作者姓名： | 朱巍 杨登伦 任春凯 乙从亮 余秋健 陈令秋 唐喆 黄斌 |
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| 作者单位： | 安徽省淮北市第一人民医院泌尿外科,淮北,235000 |
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| 摘 要： | 目的探讨后腹腔镜肾蒂淋巴管结扎术治疗乳糜尿的手术方法及疗效。方法 2004年3月至2010年6月淮北市第一人民医院经后腹腔镜肾蒂淋巴管结扎术治疗乳糜尿19例,其中男12例,女7例,年龄37~62岁,平均47岁。18例手术成功,1例因肾蒂粘连较重改开放手术。观察后腹腔镜手术的时间、术后出血量、术后并发症、术后住院时间及治疗效果。结果手术时间80~180 min,平均100 min。术后除双侧患者外,余乳糜尿均立即消失。术后随访3~26个月,平均10个月,患者营养状况均明显改善,体质量增加。结论由于腹腔镜的放大作用,能更清晰的观察处理肾血管周围和输尿管上段的细小淋巴管,较传统开放手术淋巴管结扎更精细彻底。腹腔镜肾蒂淋巴管结扎术治疗乳糜尿创伤小,出血少,恢复快,治疗效果满意。
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| 关 键 词： | 乳糜尿 后腹腔镜 肾蒂淋巴管结扎术 |
Retroperitoneoscopic ligation of renal pedicle lymphatic vessels for chyluria(report of 19 cases) |
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| ZHU Wei,YANG Denglun,REN Chunkai,YI Congliang,YU Qiujian,CHEN Lingqiu,TANG Zhe,HUANG Bin.Retroperitoneoscopic ligation of renal pedicle lymphatic vessels for chyluria(report of 19 cases)[J].Clinical Medicine,2011,31(5):14-15. |
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| Authors: | ZHU Wei YANG Denglun REN Chunkai YI Congliang YU Qiujian CHEN Lingqiu TANG Zhe HUANG Bin |
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| Affiliation: | ZHU Wei,YANG Denglun,REN Chunkai,YI Congliang,YU Qiujian,CHEN Lingqiu,TANG Zhe,HUANG Bin.Department of Urology,the First People's Hospital of Huaibei,Huaibei 235000,China |
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| Abstract: | Objective To assess the technique and result of retroperitoneoscopic lymphatic disconnection for the treatment of patients with intractable chyluria.Methods Nineteen cases of chyluria were treated by retroperitoneoscopic renal pedicle lymphatic disconnection from May 2004 to June 2010 with 12 males and 7 females.The average age was 47 years.Eighteen of 19 cases obtained success and one of 19 cases was converted to open surgery.Operation time,blooding volume,postoperative complications,hospitalization stay a... |
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| Keywords: | Chyluria Retroperitoneoscopic Kidney pedicle lymphatic disconnection |
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