乳糜尿的显微外科治疗：初步报告。

Microsurgical treatment of chyluria: a preliminary report.

作者信息

Xu Y M, Ji R J, Chen Z D, Qiao Y, Jin N T

机构信息

Department of Urology, 6th Municipal Hospital of Shanghai, Peoples Republic of China.

出版信息

J Urol. 1991 Jun;145(6):1184-5. doi: 10.1016/s0022-5347(17)38569-5.

DOI:10.1016/s0022-5347(17)38569-5

PMID:2033689

Abstract

We treated 80 patients with recurrent chyluria (68 men and 12 women) by a microsurgical technique since 1978. Transinguinal spermatic lymphangiovenous anastomosis was performed in 64 patients and inguinal lymph node-saphenous vein anastomosis was performed in 16. Followup was 6 months to 11 years in 50 of the former and 12 of the latter patients. Chyluria disappeared completely in 30 (60%) and 8 (66.7%) patients, respectively. In 6 of the former patients (12%) chyluria had disappeared immediately after the operation but it recurred within 1.5 to 3 years. The procedure has the advantage of a superficial operative field, and is simple and less traumatic.

摘要

自1978年以来，我们采用显微外科技术治疗了80例复发性乳糜尿患者（68例男性，12例女性）。其中64例行经腹股沟精索淋巴管静脉吻合术，16例行腹股沟淋巴结-大隐静脉吻合术。对前一组中的50例患者以及后一组中的12例患者进行了6个月至11年的随访。在前一组和后一组患者中，乳糜尿分别完全消失的有30例（60%）和8例（66.7%）。前一组中有6例患者（12%）术后乳糜尿立即消失，但在1.5至3年内复发。该手术具有手术视野表浅、操作简单且创伤较小的优点。