Yu H H, Ngan H, Leong C H
Br J Urol. 1978 Apr;50(2):126-33. doi: 10.1111/j.1464-410x.1978.tb03042.x.
One hundred and sixty-one cases of chyluria have been studied. The possible aetiological factors, the approach to investigation and the methods and results of treatment have been discussed. In this series, the diagnosis was established by the presence of chyle in the urine. Lymphography was carried out in 90 patients for the localisation of the site of lymphatic reflux while cystoscopic examination after fatty meal was useful in determining the side with the heavier leakage. One hundred and nineteen cases responded to conservative treatment and only 42 cases required operative treatment. Stripping of the renal pedicle via the retroperitoneal route gave the best results.
对161例乳糜尿患者进行了研究。讨论了可能的病因、检查方法以及治疗方法和结果。在该系列研究中，根据尿中存在乳糜确诊。90例患者进行了淋巴造影以定位淋巴反流部位，而脂肪餐后膀胱镜检查有助于确定漏出较重的一侧。119例患者经保守治疗有效，仅42例需要手术治疗。经腹膜后途径剥脱肾蒂效果最佳。
