| 后腹腔镜肾蒂淋巴管结扎术治疗乳糜尿 |
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| 引用本文： | 许振强,庄志明,庄乾元,郑周达,林海利,张朝贤. 后腹腔镜肾蒂淋巴管结扎术治疗乳糜尿[J]. 华中科技大学学报(医学版), 2011, 40(3): 351-353. DOI: 10.3870/j.issn.1672-0741.2011.03.024 |
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| 作者姓名： | 许振强 庄志明 庄乾元 郑周达 林海利 张朝贤 |
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| 作者单位： | 1. 福建医科大学附属漳州市医院泌尿外科,漳州,363000
2. 华中科技大学同济医学院附属同济医院泌尿外科,武汉,430030 |
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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和临床疗效。方法 2006年11月至2010年5月将37例经保守治疗无效的乳糜尿患者分为两组,分别行经腹膜后腹腔镜肾蒂周围淋巴管结扎术(n=17)和开放肾蒂淋巴管结扎术(n=20)。结果 37例手术均顺利完成,17例后腹腔镜手术无中转开放手术病例。后腹腔镜组较开放手术组手术时间更短[(100±10)min vs(130±25)min]、术中出血量更少[(50±8)mL vs(105±19)mL]、术后住院天数更少[(6.20±0.40)d vs(8.85±0.95)d]、拔管时间更早[(3.5±0.6)d vs(4.5±0.8)d](均P<0.01)。所有患者术后乳糜尿消失,随访3~45个月,平均23个月,后腹腔镜组均无乳糜尿复发及肾下垂发生,患者营养状况均明显改善,体重明显增加。开放手术组术后有2例乳糜尿复发。结论腹膜后腹腔镜肾蒂周围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,是目前治疗乳糜尿较理想的手术方式。
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| 关 键 词： | 乳糜尿 腹腔镜 肾蒂淋巴管结扎术 |
Retroperitoneoscopic Renal Pedicle Lymphatic Disconnection for Treatment of Intractable Chyluria |
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| Xu Zhenqiang,Zhuang Zhiming,Zhuang Qianyuan et al. Retroperitoneoscopic Renal Pedicle Lymphatic Disconnection for Treatment of Intractable Chyluria[J]. Journal of Huazhong University of Science and Technology(Health Sciences), 2011, 40(3): 351-353. DOI: 10.3870/j.issn.1672-0741.2011.03.024 |
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| Authors: | Xu Zhenqiang Zhuang Zhiming Zhuang Qianyuan et al |
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| Affiliation: | Xu Zhenqiang1,Zhuang Zhiming1,Zhuang Qianyuan2 et al1Department of Urology,Zhangzhou Hospital,Fujian Medical University,Zhangzhou 363000,China2Department of Urology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,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 From November 2006 to May 2010,37 cases of chyluria were divided into two groups,receiving retroperitoneoscopic lymphatic disconnection(n=17)as experimental group,or open surgery of lymphatic disconnection(n=20)as control group.Results Retroperitoneoscopic renal pedicle lymphatic disconnection was performed successfully on all 17 patients.The operation ... |
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| Keywords: | chyluria laparoscopy retroperitoneoscopic renal pedicle lymphatic disconnection |
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