| 浅表淋巴结结核病灶清除术合并淋巴漏66例的原因及处理 |
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| 引用本文： | 汤中文,倪正义. 浅表淋巴结结核病灶清除术合并淋巴漏66例的原因及处理[J]. 实用临床医学(江西), 2010, 11(2): 42-43,46 |
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| 作者姓名： | 汤中文 倪正义 |
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| 作者单位： | 武汉市医疗救治中心外科; |
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| 摘 要： | 目的分析浅表淋巴结结核病灶清除术合并淋巴漏的原因及处理方案。方法回顾性分析1 254例浅表淋巴结结核病灶清除术中34例、术后32例淋巴漏的原因,总结较合理的处理方案。结果术中发生淋巴漏的34例全部位于颈部（34/1 056,3.22%）,术后淋巴漏32例患者中颈部26例（26/1 056,2.46%）,腋窝1例（1/104,0.96%）,腹股沟区5例（5/94,5.32%）。术中淋巴漏34例经术中缝扎后33例术后无淋巴漏,1例仍有淋巴漏;术后淋巴漏32例经控制饮食、通畅引流、加压包扎、敞开创口换药及手术缝扎等措施均治愈。结论浅表淋巴结结核病灶清除术出现淋巴漏主要发生在颈部及腹股沟区,术中难以避免,总体发生率约5.26%,术中、术后采取合理的处理方案均可治愈。
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| 关 键 词： | 浅表淋巴结结核 手术 淋巴漏 原因 处理 |
The Cause and Treatment of 66 Cases of Lymph Leakage Incorporated to the Clearance of Superficial Lymphoid Tuberculosis Focal Lesion |
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| TANG Zhong-wen,NI Zheng-yi. The Cause and Treatment of 66 Cases of Lymph Leakage Incorporated to the Clearance of Superficial Lymphoid Tuberculosis Focal Lesion[J]. Practical Clinical Medicine, 2010, 11(2): 42-43,46 |
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| Authors: | TANG Zhong-wen NI Zheng-yi |
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| Affiliation: | The South 3rd Floor of Surgery/a>;Wuhan Medical Treatment Center/a>;Wuhan 430023/a>;China |
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| Abstract: | Objective To investigate the cause and treatment of the lymph leakage incorporated to the clearance operation of superficial lymphoid tuberculosis focal lesion.Methods We analyzed the cause of 1 254 cases of lymph leakage incorporated to the clearance operation of superficial lymphoid tuberculosis focal lesion including 34 cases occurring in the operation and 32 cases after the operation and summarized more reasonable treatment programs.Results All the lymph leakage cases occurring during the operation were... |
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| Keywords: | superficial lymphoid tuberculosis surgery lymph leakage cause treatment |
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