Rice D C, Emory R E, McIlrath D C, Meland N B
Department of Surgery, Mayo Clinic, Rochester, Minn.
Plast Reconstr Surg. 1994 Feb;93(2):399-401.
Postoperative lymphatic complications of mastectomy and immediate reconstruction are well documented, consisting predominantly of lymphorrhea, lymphocele, and chronic lymphoedema. Chylous fistula is a hitherto undescribed entity complicating breast surgery. It was managed successfully by cessation of oral intake and the use of intravenous fluids, as is recommended in the treatment of chylous fistulas occurring elsewhere in the body. Although these are exceedingly rare, all plastic surgeons doing breast reconstruction should be aware of chylous fistulas and their treatment.
乳房切除术及即刻重建术后的淋巴并发症已有充分记录，主要包括淋巴漏、淋巴囊肿和慢性淋巴水肿。乳糜瘘是一种迄今为止未被描述过的使乳房手术复杂化的情况。按照治疗身体其他部位出现的乳糜瘘的推荐方法，通过停止经口摄入并使用静脉输液成功处理了该病例。尽管这些情况极其罕见，但所有进行乳房重建的整形外科医生都应了解乳糜瘘及其治疗方法。
