| 腹股沟淋巴结与大隐静脉吻合术治疗乳糜尿效果观察 |
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| 引用本文： | 侯连泉,刘庆勇,孔巧云,罗传灼,孔庆安,刘国进.腹股沟淋巴结与大隐静脉吻合术治疗乳糜尿效果观察[J].中国病原生物学杂志,1988(1). |
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| 作者姓名： | 侯连泉 刘庆勇 孔巧云 罗传灼 孔庆安 刘国进 |
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| 作者单位： | 山东省寄生虫病防治研究所，山东省寄生虫病防治研究所，山东省寄生虫病防治研究所，山东省寄生虫病防治研究所，山东省寄生虫病防治研究所，山东省济宁市第一人民医院 世世卫生组织淋巴丝虫病合作中心，世世卫生组织淋巴丝虫病合作中心，世世卫生组织淋巴丝虫病合作中心，世世卫生组织淋巴丝虫病合作中心，世世卫生组织淋巴丝虫病合作中心 |
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| 基金项目： | 联合国开发计划署/世界银行/世界卫生组织热带病研究培训特别规划处的部分支持 |
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| 摘 要： | 本文根据生理淋巴分流原理,采取腹股沟部位的淋巴结楔形切除部分组织再与大隐静脉相吻合的手术方式治疗乳糜尿30例,结果术后20d内乳糜尿消失20例(67.7％),好转7例(23.3％),总有效率为90.0％。半年内复查21例,乳糜尿消失16例(76.2％),好转2例(9.5％),总有效率为85.7％。此术特点是:1.避免损伤输入输出淋巴管,可使逆流和回流的淋巴液—并通过吻合口进入静脉。2.大隐静脉近心端和楔形切除后的淋巴结相吻合,可使吻合口面积加大,提高通畅率。3.手术部位表浅,方法简易,不用手术显微镜也可进行,更便于在基层推广应用。
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| 关 键 词： | 乳糜尿 腹股沟淋巴结-大隐静脉吻合术 丝虫病 |
LYMPH NODE-VENOUS ANASTOMOSIS IN TREATMENT OF CHYLURIA |
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| Hou Lianquan Liu Guojin et al .Shandong Institute of Parasitic Diseases .Jining First People's Hospital.LYMPH NODE-VENOUS ANASTOMOSIS IN TREATMENT OF CHYLURIA[J].Journal of Pathogen Biology,1988(1). |
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| Authors: | Hou Lianquan Liu Guojin Shandong Institute of Parasitic Diseases Jining First People's Hospital |
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| Institution: | Hou Lianquan~1 Liu Guojin~2 et al 1.Shandong Institute of Parasitic Diseases~* 2.Jining First People's Hospital |
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| Abstract: | Based on the principle of lymph shunt, 30 patients with chyluria were treated by means of lymph node-venous anastomosis. Removing a wedgeshaped tissue of lymph node at inguinal region was performed and then anastomosed it to the homolateral great saphsnous vein(figure 1, 2). 21 cases were followed up for six months after operation. Of them, 16 cases (76.2% ) showed chyluria disappeared, two (9.5%) improved, giving 85.7% of total effective rate. This operation can avoid the damage to both the afferent and efferent lymphatics, has a large anastomosis, ensuring lymph reflux into the vein. |
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| Keywords: | Chyluria Lymph node-venous anastomosis |
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