Ngan H, Leong C H
Br J Radiol. 1977 Dec;50(600):863-70. doi: 10.1259/0007-1285-50-600-863.
Ninety patients with chyluria were studied by bilateral pedal lymphography. The retroperitoneal lymphatic vessels were dilated, tortuous and increased in number in 61% of cases while the appearance of the lymph nodes was abnormal in 67% of cases. Renal lymphatic reflux, either bilateral or unilateral, was seen in 93% of patients. A correlation (P greater than 0.007) was observed between the site of origin of the cisterna chyli and side of unilateral renal lymphatic reflux. There was no evidence of thoracic duct obstruction although the thoracic duct was more than 3 mm in calibre in seven cases. Lymphography was also performed on 22 patients who had undergone stripping of the lymphatics along the renal pedicle to determine if surgical disconnection was complete. The pathogenesis of chyluria is briefly discussed.
对90例乳糜尿患者进行了双侧足背淋巴管造影研究。61%的病例中腹膜后淋巴管扩张、迂曲且数量增加，67%的病例中淋巴结外观异常。93%的患者可见双侧或单侧肾淋巴反流。观察到乳糜池起源部位与单侧肾淋巴反流侧之间存在相关性（P大于0.007）。尽管7例患者胸导管内径超过3 mm，但未发现胸导管梗阻的证据。还对22例接受肾蒂淋巴管剥脱术的患者进行了淋巴管造影，以确定手术切断是否彻底。简要讨论了乳糜尿的发病机制。
