肾移植术后淋巴漏及淋巴囊肿的诊治

 [目的] 探讨肾移植术后淋巴漏或淋巴囊肿的诊断及治疗方法。[方法]回顾性分析21例肾移植术后淋巴漏（或囊肿）患者1，对淋巴漏或囊肿的可能原因进行探讨并通过引流液生化检查、乳靡试验和B超检查，分为非手术治疗和手术治疗。对诊断和治疗方法进行总结。[结果]21例中，17例为淋巴漏，4例为淋巴囊肿。6例单纯引流后治愈；15例经引流管注入无水酒精；其中9例治愈．6例治疗无效，最后经开放手术治愈。本组病例中，3例淋巴漏伴有感染，1例淋巴漏伴有移植肾急性排斥．经抗排斥治疗好转，淋巴漏治愈。[结论]肾移植术后淋巴漏或淋巴囊肿多与手术操作欠仔细或术中漏扎小淋巴管有关；多数病人可经非手术治疗痊愈，少数病人尤其淋巴囊肿形成者需开放手术治疗。

Diagnosis and Treatment of Lymphorrhagia or Lymphocele after Kidney Transplantation

[Objective] To investigate the diagnosis and treatment of lymphorrhagia or lymphocele in renal transplant recipients. [Methods] 21 cases of lymphorrhagia or lymphocele after kidney transplantation were analyzed retrospectively.The possible causes of lymphorrhagia or lymphocele were studied,and the methods of diagnosis and treatment were summarized. [Results] Among 21 cases,17 cases were lymphorrhagia, 4 cases were lymphocele. In terms of diagnosis, the drain was taken for biochemistry test and chylus test, and ultrasound check was also done. The methods of treatment consisted of surgery and non-surgery. Among 21 cases, 6 cases were cured only by drainage. Pure alcohol were injected into local site through drain-tube in 15 cases, 9 cases were cured, while other 6 cases failed and recovered after surgery. 3 cases were complicated by infection. one case developed acute rejection, and lymphorrhagia was cured after acute rejection was controlled. [Conclusion] The incidence of lymphorrhagia or lymphocele in renal transplant recipients is fairly low. It is probably caused by careless operations and missing ligation of tiny lymphoducts. Non- surgery can be applied to cure most patients. Few patients, especially the patients suffering from lymphocele required surgery.