Hanson D, Mirkovic S
Department of Orthopaedic Surgery, Baylor College of Medicine, Houston, Texas, USA.
Spine (Phila Pa 1976). 1998 Apr 15;23(8):956-8. doi: 10.1097/00007632-199804150-00023.
A case report of lymphatic drainage after anterior retroperitoneal debridement and reconstruction for lumbar osteomyelitis.
To report a case of protracted lymphatic drainage after anterior lumbar surgery, a complication that has not been reported previously.
Lymphatic drainage after transthoracic surgery is a well-recognized complication. The possibility of lymphatic drainage after anterior lumbar surgery is less likely to be considered.
The cause, clinical symptoms and appearance, treatment, and differential diagnosis are reviewed.
Lymphangiography is useful in diagnosis and should be performed early if the diagnosis is in doubt. Percutaneous drainage can facilitate early wound healing.
Lymphatic drainage should be considered in the differential diagnosis of postoperative wound drainage, particularly after surgical debridement for osteomyelitis.
腰椎骨髓炎经腹膜后前路清创及重建术后淋巴漏的病例报告。
报告1例腰椎前路手术后出现迁延性淋巴漏的病例，这是一种此前未被报道过的并发症。
经胸手术后淋巴漏是一种广为人知的并发症。而腰椎前路手术后发生淋巴漏的可能性则较少被考虑到。
对病因、临床症状及表现、治疗及鉴别诊断进行回顾。
淋巴管造影对诊断有帮助，若诊断存疑应尽早进行。经皮引流有助于伤口早期愈合。
在术后伤口引流的鉴别诊断中，尤其是骨髓炎手术清创术后，应考虑淋巴漏的可能。
