CAJ | 학술논문

目的探讨肾癌根治术后乳糜瘘的诊断与治疗。方法总结2例肾癌术后乳糜瘘患者的临床诊治资料，结合文献讨论其病因发病机理、临床表现、诊断（实验室及影像学检查）、治疗、预防及处理。结果 1例采用保守治疗，1例开放手术腹膜后淋巴管结扎。本组2例患者均治愈，例1术后随访6个月、例2随访8个月，目前均存活，未复发，仍在随访中。结论肾癌术后乳糜瘘临床比较少见，一旦发生不及时诊治，死亡率极高。确诊须依据临床表现+实验室+影像学检查；治疗首选保守治疗，保守治疗无效的情况下可选择腹膜后淋巴管结扎加分流术治疗乳糜外瘘是一种有效的方法。
목적 탐토신암근치술후유미루적진단여치료。방법 총결2례신암술후유미루환자적림상진치자료，결합문헌토론기병인발병궤리、림상표현、진단（실험실급영상학검사）、치료、예방급처리。결과 1례채용보수치료，1례개방수술복막후림파관결찰。본조2례환자균치유，례1술후수방6개월、례2수방8개월，목전균존활，미복발，잉재수방중。결론신암술후유미루림상비교소견，일단발생불급시진치，사망솔겁고。학진수의거림상표현+실험실+영상학검사；치료수선보수치료，보수치료무효적정황하가선택복막후림파관결찰가분류술치료유미외루시일충유효적방법。
Objectives To discuss the diagnosis and therapy of Renal carcinoma radical correction to incur external chylous fistula. Methods After summarizing 2 example kidney cancer technique, the chyle fistula patient 's clinical diagnosis material, the union literature discusses its cause of disease pathogenesis, the clinical manifestation, the diagnosis (laboratory and phantom study inspection), the treatment, the prevention and processing. Results 1 example uses the conservative treatment, 1 example opening surgery retroperitoneal lymph vessel ligation.This group of 2 example patient cures, after example 1 technique, makes a follow - up visit 6 months, the example 2 to make a follow - up visit for 8 months, at present survives, has not recurred, still in revisit. Conclusions After kidney cancer technique, the chyle fistula clinical is quite rare, once occurs is not prompt diagnoses, the mortality rate is extremely high. The diagnosis must rest on the clinical manifestation + laboratory + phantom study inspection; The treatment first choice treats conservatively, in the conservative treatment invalid situation may choose the retroperitoneal lymph vessel ligation to add outside bypass treatment chyle the fistula is one effective method.