后腹腔镜肾蒂淋巴管结扎术治疗乳糜尿20例临床分析
Journal of Clinical Urology(2013)
Abstract
目的:探讨后腹腔镜肾蒂淋巴管结扎术治疗乳糜尿的手术方法和疗效。方法:本组20例患者均行后腹腔镜肾蒂淋巴管结扎术。结果:20例患者手术均成功,平均手术时间65(45~90)min,估计术中出血量平均30(20~60)ml,术后平均住院时间8d,未见明显手术并发症;患者出院时尿液均清亮,尿乳糜试验全部阴性。随访6个月~2年均未见复发。结论:后腹腔镜肾蒂淋巴管结扎术治疗乳糜尿疗效好,具有手术时间短、术中出血量少、淋巴管结扎彻底、术后并发症少、恢复快等优点,是目前治疗乳糜尿较理想的手术方式。
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Key words
chyluria,ligation of renal lymphatic vessels,retroperitoneoscopy
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