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胸腔乳糜液治疗进展。

Advances in the Treatment of Chylothorax.

机构信息

Department of Clinical Studies, The Ontario Veterinary College, University of Guelph, 26 College Avenue West, Guelph, N1G 2W1, Ontario, Canada.

Department of Clinical Studies, The Ontario Veterinary College, University of Guelph, 26 College Avenue West, Guelph, N1G 2W1, Ontario, Canada.

出版信息

Vet Clin North Am Small Anim Pract. 2024 Jul;54(4):707-720. doi: 10.1016/j.cvsm.2024.02.006. Epub 2024 Mar 19.

Abstract

Idiopathic chylothorax is a challenging clinical condition historically associated with poor resolution rates following surgical intervention. Recent advances in imaging and surgical techniques have revolutionized the treatment of this disease process. Computed tomographic lymphangiography has facilitated improved surgical planning and postoperative assessment, while intraoperative use of near-infrared fluorescence imaging aids in highly accurate intraoperative thoracic duct identification. Utilizing these advancements, minimally invasive surgical techniques have been successfully developed and have been associated with considerable improvements in surgical outcomes.

摘要

特发性乳糜胸是一种具有挑战性的临床病症,历史上与手术后的低解决率相关。影像学和手术技术的最新进展彻底改变了这种疾病的治疗方式。计算机断层淋巴管造影术有助于改善手术计划和术后评估,而近红外荧光成像的术中应用则有助于在术中高度准确地识别胸导管。利用这些进展,微创外科技术已经成功开发,并与手术结果的显著改善相关。

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