使用纤维蛋白粘合剂套装治疗乳糜瘘。

Management of chylous fistula using the fibrin adhesive set.

作者信息

Velegrakis G A, Prokopakis E P, Papadakis C E, Bizakis J G, Kyrmizakis D E, Helidonis E S

机构信息

Department of Otolaryngology, University of Crete School of Medicine, Heraklion, Greece.

出版信息

ORL J Otorhinolaryngol Relat Spec. 1998 Jul-Aug;60(4):230-2. doi: 10.1159/000027600.

DOI:10.1159/000027600

PMID:9646313

Abstract

Chylous fistula complicates 1.1% of all radical neck dissections, and 2.4% of left-sided dissections. The standard treatment of established chylous leak in the reported cases is a pressure dressing applied to the lower neck. Here we present a case of chylous fistula, where conservative methods failed to cope with this complication. The additional application of a fibrin adhesive set was a successful modality of treatment.

摘要

乳糜瘘在所有根治性颈清扫术中的发生率为1.1%，在左侧清扫术中为2.4%。在报告的病例中，已确诊的乳糜漏的标准治疗方法是在下颈部施加压力敷料。在此，我们报告一例乳糜瘘病例，保守方法未能应对这一并发症。额外应用纤维蛋白黏合剂是一种成功的治疗方式。