CAJ | 학술논문

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临床疗效。方法选取2008年5月~2013年5月在我院接受保守治疗无效的乳糜尿患者40例，将患者随机分为两组，观察组患者20例，接受腹膜后腹腔镜肾蒂周围淋巴管结扎术；对照组患者20例，接受开放肾蒂淋巴管结扎术。结果观察组患者手术时间、术中出血量、术后住院天数以及拔管天数均明显低于对照组（P<0.05）。结论腹膜后腹腔镜肾蒂淋巴管结扎术治疗乳糜尿具有创伤小、出血少、恢复快的特点，是目前治疗乳糜尿较理想的手术方式。
목적：탐토후복강경신체림파관결찰술치료유미뇨적수술방법화림상료효。방법선취2008년5월~2013년5월재아원접수보수치료무효적유미뇨환자40례，장환자수궤분위량조，관찰조환자20례，접수복막후복강경신체주위림파관결찰술；대조조환자20례，접수개방신체림파관결찰술。결과관찰조환자수술시간、술중출혈량、술후주원천수이급발관천수균명현저우대조조（P<0.05）。결론복막후복강경신체림파관결찰술치료유미뇨구유창상소、출혈소、회복쾌적특점，시목전치료유미뇨교이상적수술방식。
Objective To discuss the surgical method and clinical efficacy of the retroperitoneoscopic ligation of renal pedicle lymphatic vessels for chyluria. Methods 40 chyluria patients who were treated with conservative treatment had no ef-fects were collected from May 2008 to May 2013 in our hospital , the patients were randomly divided into two groups. 20 patients in the observation group received laparoscopic retroperitoneal lymphatic vessels around the renal pedicle ligation. 20 patients in the control group received open renal lymphatic ligation. Results The operative time, blood loss, postoperative hospital stay and the days of extubation were significantly lower than the control group(P<0.05). Conclusion The retroperitoneoscopic lig-ation of renal pedicle lymphatic vessels for chyluria has the characteristic of smaller chyluria trauma ,less bleeding,faster re-couery. It is an ideal treatment for chyluria surgery.