胃癌根治术后腹腔淋巴漏的诊治（附4例临床分析）

目的：探讨胃癌根治手术后腹腔淋巴漏的发生原因及治疗方法。方法：对本院1992年4月至2002年4月胃癌根治术后发生腹腔淋巴漏4例患者的临床资料进行回顾分析。结果：胃癌根治术后腹腔淋巴漏发生率为0．9％（4／442），全部病例均经非手术治疗痊愈：手术后引流量300ml-1600ml／日，平均900ml／日。引流时间15天～37天，平均26天。结论：胃癌根治手术在进行腹膜后淋巴管网的清扫时，应重视残余管网的结扎，预防淋巴漏的发生，一旦出现淋巴漏则多可经保守疗法治愈。

Clinical Analysis of Lymphatic Fistulas after Radical Surgical Treatment for Gastric Cancer

Objective: To inverstigate the causes and treatments of lymphatic fistulas after radical surgical treatment for gastric cancer.Methods: The clinical data of 4 cases with lymphatic fistulas after radical surgical treatment for gastric cancer from April 1992 to April 2002 were analyzed retrospectively.Results: The incidence rate of lymphatic fistulas after radical surgical treatment for gastric cancer was 0.9%(4/442),all of the four cases were cured by non-surgical treatments. The mean volume of drain after radical surgical treatment was 900 ml/d (300ml/d~1600ml/d),and the mean time of drain was 26 days(15days~37days).Conclusion: It is emphasised to ligate lymphatic vessels in radical surgical treatment for gastric cancer to avoid lymphatic fistulas. Non-surgical theatments can usually cure lymphatic fistulas after radical surgical treatment for gastric cancer.[