CAJ | 학술논문

目的探讨甲状腺癌颈淋巴结清扫术后淋巴瘘的防治措施.方法回顾性分析吉林大学中日联谊医院2004年1月至2009年4月9例颈清扫术后淋巴瘘患者的临床资料.结果 9例患者中表现为左侧乳糜瘘3例,右侧乳糜瘘1例,乳糜胸1例,颈部淋巴瘘伴胸腔淋巴积液1例,其他3例均为淡黄色淋巴液,均通过保守治疗治愈.结论熟悉颈部淋巴管道的解剖,术中仔细操作,掌握淋巴瘘预防要点,多数淋巴瘘经综合非手术治疗措施能够获得治愈.
목적 탐토갑상선암경림파결청소술후림파루적방치조시.방법 회고성분석길림대학중일련의의원2004년1월지2009년4월9례경청소술후림파루환자적림상자료.결과 9례환자중표현위좌측유미루3례,우측유미루1례,유미흉1례,경부림파루반흉강림파적액1례,기타3례균위담황색림파액,균통과보수치료치유.결론 숙실경부림파관도적해부,술중자세조작,장악림파루예방요점,다수림파루경종합비수술치료조시능구획득치유.
Objective To analyze prevention and management of lymphatic fistula after cervical lymph node dissection in thyroid carcinoma.Methods Clinical data of 9 cases of lymphatic fistula following neck dissection were analyzed retrospectively from Jan.2004 to Apr.2009.Results Of the 9 cases,4 cases had chylous fistula(3 were on the leftside and 1 was on the rightside),1 case had chylotborax,1 case had pleural effusion lymph,and 3 cases showed light yellow lymph.AII patients were cured finally by conservative methods.Conclusions Most lymphatic fistula can be cured by non-surgical treatment.Surgeons need to be familiar with the anatomic structure of neck lymphatic vessels.