改良后腹腔镜下脂肪囊外肾蒂淋巴管结扎术治疗乳糜尿78例报道

发布时间：2017-12-27 01:05

本文关键词：改良后腹腔镜下脂肪囊外肾蒂淋巴管结扎术治疗乳糜尿78例报道　出处：《重庆医学》2016年08期 　论文类型：期刊论文

【摘要】：目的探讨程序化改良后腹腔镜下完全脂肪囊外途径肾蒂淋巴管结扎术治疗乳糜尿的可行性与安全性,并评估该方法的临床疗效。方法回顾性分析2011年4月至2014年12月酉阳县人民医院收治的78例乳糜尿患者的病历资料,患者均采用程序化改良后腹腔镜下脂肪囊外途径肾蒂淋巴管结扎术进行治疗。结果 78例患者均一次手术获得成功。随访4~50个月,所有的患者乳糜尿消失,无1例复发,无血尿、肾下垂等并发症发生。结论程序化改良后腹腔镜下完全脂肪囊外肾蒂淋巴管结扎术治疗乳糜尿具有流程合理,效果肯定,创伤小、出血少、复发率低、并发症少等优点,是目前治疗乳糜尿的理想方法,值得临床推广。
[Abstract]:Objective to investigate the feasibility and safety of programmed modified retroperitoneoscopic ligation of renal pedicle lymphatic vessels outside the complete fat capsule for the treatment of chyluria, and to evaluate the clinical efficacy of this method. Methods a retrospective analysis of 78 patients with chyluria from April 2011 to December 2014 in Youyang people's hospital was carried out. Results 78 patients were successfully operated on a single operation. Follow up 4~50 months, all patients with chyluria disappeared, no 1 cases relapsed, no hematuria, renal ptosis and other complications. Conclusion the procedure improvement after laparoscopic renal adipose capsule complete lymphatic vessel ligation in the treatment of chyluria with a reasonable process, effective, less trauma, less bleeding, low recurrence rate, less complications, is an ideal method for the treatment of chyluria, worthy of promotion.
【作者单位】：重庆市酉阳县人民医院泌尿外科;重庆市黔江中心医院泌尿外科;
【分类号】：R699
【正文快照】： 淋巴动力学的改变导致淋巴液进入尿路,称为乳糜尿。如阻塞泌尿道将发生肾绞痛、排尿困难或尿潴留。长期反复发作可出现乏力、消瘦、水肿、贫血等营养不良症状,严重威胁患者身体健康。后腹腔镜下肾蒂淋巴管结扎术,被公认为是治疗乳糜尿最好的手段,具有疗效肯定、创伤小,出血少,

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