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技术说明：胸导管栓塞术治疗乳糜胸：一种使用磁共振成像（MRI）和荧光透视联合的新型穿刺引导技术。

Technical Note: Thoracic duct embolization for treatment of chylothorax: A novel guidance technique for puncture using combined MRI and fluoroscopy.

作者信息

Praveen Alampath, Sreekumar Karumathil Pullara, Nazar Puthukudiyil Kader, Moorthy Srikanth

机构信息

Department of Radiology, Amrita Institute of Medical Sciences, Kochi-682041, India.

出版信息

Indian J Radiol Imaging. 2012 Apr;22(2):89-92. doi: 10.4103/0971-3026.101077.

DOI:10.4103/0971-3026.101077
PMID:23162248
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3498647/
Abstract

Thoracic duct embolization (TDE) is an established radiological interventional procedure for thoracic duct injuries. Traditionally, it is done under fluoroscopic guidance after opacifying the thoracic duct with bipedal lymphangiography. We describe our experience in usinga heavily T2W sequence for guiding thoracic duct puncture and direct injection of glue through the puncture needle without cannulating the duct.

摘要

胸导管栓塞术（TDE）是一种针对胸导管损伤的成熟放射介入程序。传统上，它是在双足淋巴管造影使胸导管显影后，在荧光透视引导下进行的。我们描述了我们使用重T2加权序列引导胸导管穿刺并通过穿刺针直接注射胶水而不插管进入胸导管的经验。

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本文引用的文献

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Nonoperative thoracic duct embolization for traumatic thoracic duct leak: experience in 109 patients.非手术性胸导管栓塞治疗创伤性胸导管漏：109 例经验。
J Thorac Cardiovasc Surg. 2010 Mar;139(3):584-89; discussion 589-90. doi: 10.1016/j.jtcvs.2009.11.025. Epub 2009 Dec 29.
2
Percutaneous radiological management of high-output chylothorax with CT-guided needle disruption.CT引导下经皮穿刺破坏术治疗高流量乳糜胸的放射学管理
J Med Imaging Radiat Oncol. 2008 Apr;52(2):164-7. doi: 10.1111/j.1440-1673.2008.01935.x.
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A critical evaluation of a percutaneous diagnostic and treatment strategy for chylothorax after thoracic surgery.
Orphanet J Rare Dis. 2019 Jan 9;14(1):9. doi: 10.1186/s13023-018-0991-3.
4
Localization of thoracic duct using heavily T2W MRI for intractable post-esophagectomy chylothorax-a case report.使用重T2加权磁共振成像对难治性食管切除术后乳糜胸进行胸导管定位——病例报告
J Thorac Dis. 2017 Feb;9(2):E109-E114. doi: 10.21037/jtd.2017.02.37.
胸外科手术后乳糜胸经皮诊断与治疗策略的批判性评估
Eur J Cardiothorac Surg. 2008 Mar;33(3):435-9. doi: 10.1016/j.ejcts.2007.11.028. Epub 2008 Jan 22.
4
Thoracic duct embolization: a new treatment for massive leak after neck dissection.胸导管栓塞术：一种治疗颈部清扫术后大量渗漏的新方法。
Laryngoscope. 2008 Apr;118(4):680-3. doi: 10.1097/MLG.0b013e31816067b8.
5
Introduction of lymphangiography and percutaneous embolization of the thoracic duct in a stepwise approach to the management of chylous fistulas.淋巴管造影及经皮胸导管栓塞术在乳糜瘘逐步治疗中的应用介绍。
Head Neck. 2007 Nov;29(11):1017-23. doi: 10.1002/hed.20624.
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Video-assisted right supradiaphragmatic thoracic duct ligation for non-traumatic recurrent chylothorax.电视辅助下右膈上胸导管结扎术治疗非创伤性复发性乳糜胸
Eur J Cardiothorac Surg. 2006 May;29(5):810-4. doi: 10.1016/j.ejcts.2006.01.064. Epub 2006 Apr 12.
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