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本文引用的文献

1
Management of Chyle Leak after Head and Neck Surgery: Review of Current Treatment Strategies.头颈部手术后乳糜漏的管理:当前治疗策略综述
Int J Otolaryngol. 2017;2017:8362874. doi: 10.1155/2017/8362874. Epub 2017 Jan 19.
2
Chylothorax in thyroid surgery: a very rare case and systematic review of the literature.甲状腺手术中的乳糜胸:1例罕见病例及文献系统综述
J Otolaryngol Head Neck Surg. 2016 Oct 18;45(1):52. doi: 10.1186/s40463-016-0166-y.
3
Conservative Management of an Intraoperative Chyle Leak: A Case Report and Literature Review.术中乳糜漏的保守治疗:一例报告及文献综述
Mil Med. 2016 Sep;181(9):e1180-4. doi: 10.7205/MILMED-D-15-00240.
4
The thoracic duct: clinical importance, anatomic variation, imaging, and embolization.胸导管:临床意义、解剖变异、影像学检查和栓塞。
Eur Radiol. 2016 Aug;26(8):2482-93. doi: 10.1007/s00330-015-4112-6. Epub 2015 Dec 1.
5
Chyle Fistula After Neck Dissection: An 8-Year, Single-Center, Prospective Study of Incidence, Clinical Features, and Treatment.颈部清扫术后乳糜瘘:一项为期8年的单中心发病率、临床特征及治疗的前瞻性研究
Ann Surg Oncol. 2015 Dec;22 Suppl 3:S1000-6. doi: 10.1245/s10434-015-4822-7. Epub 2015 Aug 19.
6
Post-thyroidectomy hypocalcemia exacerbated by chyle leak.
Endocrinol Diabetes Metab Case Rep. 2015;2015:140110. doi: 10.1530/EDM-14-0110. Epub 2015 Mar 1.
7
A prospective study on the role of octreotide in management of chyle fistula neck.奥曲肽在颈部乳糜瘘治疗中作用的前瞻性研究。
Laryngoscope. 2015 Jul;125(7):1624-7. doi: 10.1002/lary.25171. Epub 2015 Jan 30.
8
Chylothorax in infants and children.婴幼儿乳糜胸。
Pediatrics. 2014 Apr;133(4):722-33. doi: 10.1542/peds.2013-2072. Epub 2014 Mar 31.
9
Treatment options in patients with chylothorax.乳糜胸患者的治疗选择。
Dtsch Arztebl Int. 2013 Nov 29;110(48):819-26. doi: 10.3238/arztebl.2013.0819.
10
Evolution of chylous fistula management after neck dissection.颈部清扫术后乳糜瘘治疗的进展
Curr Opin Otolaryngol Head Neck Surg. 2013 Apr;21(2):150-6. doi: 10.1097/MOO.0b013e32835e9d97.

晚期转移性甲状腺癌中的乳糜瘘

Chyle fistula in advanced and metastatic thyroid cancer.

作者信息

Duque Carlos S, Sánchez Juan Guillermo, Dionigi Gianlorenzo

机构信息

Head and Neck Surgeon, Hospital Pablo Tobón Uribe, Clínica Las Américas, Medellín, Colombia.

Department of Otolaryngology, Universidad de Antioquia School of Medicine, Medellín, Colombia.

出版信息

Gland Surg. 2017 Oct;6(5):437-442. doi: 10.21037/gs.2017.07.13.

DOI:10.21037/gs.2017.07.13
PMID:29142832
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5676161/
Abstract

BACKGROUND

Chyle fistula (CF) is a rare but challenging condition for the surgeon and the patient's health.

METHODS

A retrospective review of single surgeon's case load in a 12-year period is presented, reviewing the case of those patients presenting with a CF.

RESULTS

Three patients were found during this study period from more than 1,050 surgeries performed due to thyroid cancer. Patients underwent extensive lymph node dissection for advanced, metastatic and infiltrative disease. In all patients, a long hospital stay and surgical re-interventions were required.

CONCLUSIONS

A description of the management of CF is presented along with a review of current Literature.

摘要

背景

乳糜瘘(CF)是一种罕见但对外科医生和患者健康都具有挑战性的病症。

方法

回顾性分析一位外科医生在12年期间的病例量,对出现CF的患者病例进行审查。

结果

在本研究期间,从因甲状腺癌进行的1050多例手术中发现了3例患者。这些患者因晚期、转移性和浸润性疾病接受了广泛的淋巴结清扫术。所有患者都需要长时间住院和手术再次干预。

结论

本文介绍了CF的治疗方法,并对当前文献进行了综述。