超声引导下淋巴结内淋巴造影，随后行胸导管栓塞术治疗术后双侧乳糜胸。
Ultrasound-guided intranodal lymphangiography followed by thoracic duct embolization for treatment of postoperative bilateral chylothorax.
机构信息
Department of Radiology, Interventional Radiology Section, College of Medicine, University of Illinois Hospital and Health Sciences System, Chicago, Illinois.
出版信息
Head Neck. 2014 Feb;36(2):E21-4. doi: 10.1002/hed.23425. Epub 2013 Oct 19.
BACKGROUND
Percutaneous thoracic duct embolization (TDE) is a safe, effective, and minimally invasive option for treating chylothorax. A recent report demonstrated the feasibility of ultrasound-guided intranodal lymphangiography as an alternative to pedal lymphangiography for visualization of the thoracic duct, promising relative technical ease and decreased procedure time for TDE.
METHODS
We report a case of postoperative bilateral chylothorax treated with ultrasound-guided intranodal lymphangiography followed by TDE.
RESULTS
Intranodal lymphangiography resulted in rapid opacification of the abdominal lymphatics, permitting technically successful primary and secondary embolization procedures. Deployment of metallic coils and liquid embolic agents within the thoracic duct produced rapid clinical and radiographic improvement.
CONCLUSION
Intranodal lymphangiography is a reliable, reproducible, and less technically challenging alternative to pedal lymphangiography.
背景
经皮胸导管栓塞术（TDE）是治疗乳糜胸的一种安全、有效且微创的选择。最近的一份报告证明了超声引导下淋巴结内淋巴管造影术作为 pedal 淋巴造影术的替代方法来可视化胸导管的可行性，有望为 TDE 带来相对简单的技术和缩短手术时间。
方法
我们报告了一例术后双侧乳糜胸患者，采用超声引导下淋巴结内淋巴管造影术，随后进行 TDE。
结果
淋巴结内淋巴管造影术使腹部淋巴管迅速显影，使得原发性和继发性栓塞术得以技术上的成功进行。金属线圈和液体栓塞剂在胸导管内的部署迅速改善了临床和影像学结果。
结论
淋巴结内淋巴管造影术是一种可靠、可重复且技术挑战性较小的替代 pedal 淋巴造影术的方法。
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