Yagi S, Goto T, Kawamoto K, Miyawaki I, Tanaka I, Mori K, Hayami H, Ohi Y
Department of Urology, Kagoshima University Hospital, Japan.
J Urol. 1998 May;159(5):1615-8. doi: 10.1097/00005392-199805000-00055.
We report our experiences treating 5 patients who had filarial chyluria using an endoscopic approach.
Two men and 3 women 47 to 83 years old with chyluria were treated with endoscopic coagulation using guide tube methods. Intrarenal pelvic instillation of silver nitrate was not effective in 4 patients and catheterization was impossible in 1.
The responsible lesion was successfully coagulated in all 5 patients. Because the lesion was in the ruptured portion of the caliceal fornix, we thought that chyluria had arisen in the fragile portion of the fornix (fistulization). After endoscopic treatment there was no recurrence in any patient.
Endoscopy is effective and minimally invasive therapy for filarial chyluria.
我们报告使用内镜方法治疗5例丝虫性乳糜尿患者的经验。
对2名男性和3名女性，年龄在47至83岁的乳糜尿患者采用导管引导下的内镜凝血治疗。4例患者肾内肾盂灌注硝酸银无效，1例无法进行插管。
所有5例患者的责任病灶均成功凝固。由于病灶位于肾盏穹窿破裂处，我们认为乳糜尿起源于穹窿的脆弱部分（形成瘘管）。内镜治疗后，所有患者均未复发。
内镜检查是治疗丝虫性乳糜尿的有效且微创的方法。
