Stalens J P, Falk M, Howmann-Giles R, Roy L P
Department of Paediatric Nephrology, Children's Hospital Camperdown, NSW, Sydney, Australia.
Eur J Pediatr. 1992 Jan;151(1):61-2. doi: 10.1007/BF02073895.
A 10-year-old boy with chyluria due to a congenital fistulous communication between the lymphatic system and the bladder is described. Chyluria can be parasitic or non-parasitic. Many causes of non-parasitic chyluria have been reported. Lymphography is the preoperative imaging procedure of choice since it demonstrates the site, the calibre and the number of the fistulous communications. Lymphoscintigraphy shows very well the site of the fistula but is not as precise as lymphography. However, it has the advantage to be less invasive and is an excellent alternative in the non-surgical cases. The prognosis of non-parasitic chyluria is usually very good and the treatment is mostly conservative.
本文描述了一名10岁男孩，因先天性淋巴管与膀胱之间的瘘管交通导致乳糜尿。乳糜尿可分为寄生虫性或非寄生虫性。已报道了许多非寄生虫性乳糜尿的病因。淋巴造影是术前首选的影像学检查方法，因为它能显示瘘管交通的部位、管径和数量。淋巴闪烁造影能很好地显示瘘管的部位，但不如淋巴造影精确。然而，它具有侵入性较小的优点，是非手术病例的极佳替代方法。非寄生虫性乳糜尿的预后通常非常好，治疗大多采用保守治疗。
