颈清扫术后应用 SD LipidoCare 早期诊断乳糜瘘。

Early diagnosis of chyle fistula with SD LipidoCare after neck dissection.

机构信息

Department of Otolaryngology - Head and Neck Surgery, Chonnam National University Medical School and Hwasun Hospital, Hwasun, South Korea.

出版信息

J Laryngol Otol. 2021 Apr;135(4):355-358. doi: 10.1017/S0022215121000888. Epub 2021 Mar 31.

DOI:10.1017/S0022215121000888

PMID:33785086

Abstract

OBJECTIVE

This study aimed to analyse the results of chyle fistula testing using the SD LipidoCare system in patients who had undergone neck dissections performed in our hospital in 2019.

METHOD

Sixty patients who underwent neck dissections from March 2019 to November 2019 were identified based on their medical records.

RESULTS

Post-operative chyle fistulas were observed in 3 of 60 patients (5 per cent). All patients who developed chyle fistulas had undergone left-sided neck dissections. Within 3 minutes, the SD LipidoCare test had produced triglyceride results of 49, 56 and 207 mg/dl in the three patients. The remaining 57 patients measured 'low' for triglycerides on the SD LipidoCare test system.

CONCLUSION

The SD LipidoCare test quickly and accurately diagnosed chyle fistulas in patients who had undergone neck dissections. All patients improved with conservative treatment following the early diagnosis of chyle fistulas.

摘要

目的

本研究旨在分析 2019 年在我院行颈部清扫术的患者使用 SD LipidoCare 系统进行乳糜瘘检测的结果。

方法

根据病历确定了 2019 年 3 月至 11 月间进行颈部清扫术的 60 名患者。

结果

60 名患者中有 3 名（5%）出现术后乳糜瘘。所有发生乳糜瘘的患者均行左侧颈部清扫术。在 3 分钟内，SD LipidoCare 检测在 3 名患者中分别产生了 49、56 和 207mg/dl 的甘油三酯结果。SD LipidoCare 检测系统中其余 57 名患者的甘油三酯检测结果均为“低”。