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肝内淋巴管硬化栓塞术治疗术后淋巴性腹水：附3例报告

Intrahepatic lymphatic channel sclerotic embolization for treatment of postoperative lymphatic ascites: a report of 3 cases.

作者信息

Nguyen Ngoc Cuong, Inoue Masanori, Le Tuan Linh, Pham Hong Canh, Trinh Hong Son, Pham Duc Huan, Nguyen Hoang, Tran Anh Tuan, Vu Dang Luu, Delphine Natali

机构信息

Radiology Department, Hanoi University Hospital, Hanoi, Vietnam.

Keio University, Tokyo, Japan.

出版信息

Radiol Case Rep. 2020 Sep 15;15(11):2353-2357. doi: 10.1016/j.radcr.2020.09.009. eCollection 2020 Nov.

DOI:10.1016/j.radcr.2020.09.009
PMID:32994840
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7501473/
Abstract

Postoperative hepatic lymphorrhea is extremely rare and there is no standard treatment for this condition. We report the cases of 3 men, 32-, 56-, and 37-year-old, with postoperative hepatic lymphorrhea, which was refractory to conservative treatment. Transhepatic lymphangiography allowed locating the lymphatic leak and treating it with hepatic lymphatic vessels injection of foam sclerotic agent. This technique seems efficient and safe.

摘要

术后肝淋巴漏极为罕见，对此病症尚无标准治疗方法。我们报告了3例男性患者的病例，年龄分别为32岁、56岁和37岁，均出现术后肝淋巴漏，且保守治疗无效。经肝淋巴管造影可定位淋巴漏，并通过向肝淋巴管内注射泡沫硬化剂进行治疗。该技术似乎有效且安全。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2773/7501473/4651eeab50c5/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2773/7501473/d8ff350165d3/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2773/7501473/54df7300c485/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2773/7501473/4651eeab50c5/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2773/7501473/d8ff350165d3/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2773/7501473/54df7300c485/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2773/7501473/4651eeab50c5/gr3.jpg

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本文引用的文献

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Surg Case Rep. 2019 Dec 23;5(1):203. doi: 10.1186/s40792-019-0761-z.
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Lymphatics in the liver.肝脏中的淋巴管。
Curr Opin Immunol. 2018 Aug;53:137-142. doi: 10.1016/j.coi.2018.04.028. Epub 2018 May 14.
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MR Lymphangiography in Children: Technique and Potential Applications.儿童磁共振淋巴造影：技术与潜在应用
诊断影像学、治疗干预以及术后肝淋巴漏中胸导管阻塞的建议：20 例回顾性分析。
BMC Surg. 2024 Nov 12;24(1):352. doi: 10.1186/s12893-024-02650-6.
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Surg Case Rep. 2023 Feb 27;9(1):28. doi: 10.1186/s40792-023-01615-w.
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Percutaneous embolization of hepatic lymphorrhea post-hepatectomy.肝切除术后肝淋巴漏的经皮栓塞治疗
Radiol Case Rep. 2021 Dec 16;17(3):549-552. doi: 10.1016/j.radcr.2021.11.070. eCollection 2022 Mar.
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Radiographics. 2017 Oct;37(6):1775-1790. doi: 10.1148/rg.2017170014.
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