论文部分内容阅读
目的探讨甲状腺癌患者术后并发淋巴瘘的临床疗效。方法 8例行甲状腺癌颈淋巴结功能性清扫术后并发淋巴瘘的患者作为研究对象,对所有患者的临床资料进行回顾性分析,统计患者的治疗效果。结果 8例并发淋巴瘘患者,发生在左侧2例,右侧6例。淋巴瘘患者引流液为淡黄色清亮液体。引流量<1500 ml者均在1周内得以恢复,1例患者引流量>2000 ml,10 d后给予低脂饮食控制加静脉补液,至20 d停止瘘液。所有患者均经非手术治疗治愈,无一例发生皮瓣坏死、感染等并发症。结论甲状腺癌术后并发淋巴瘘患者采取保守治疗效果显著,且淋巴瘘多发生在右侧,临床需加强对机体解剖结构的了解及手术操作规范性,减少淋巴瘘的发生。
Objective To investigate the clinical efficacy of postoperative lymphatic fistula in patients with thyroid cancer. Methods Eight patients with lymphatic fistula after functional dissection of cervical lymph node in thyroid cancer were retrospectively analyzed and the clinical effects of all the patients were analyzed retrospectively. Results 8 patients with lymphatic fistula occurred in 2 cases on the left and 6 cases on the right. Drainage fluid in patients with lymphatic fistula is light yellow clear liquid. Drainage <1500 ml were recovered in 1 week, 1 patient drainage> 2000 ml, 10 days after the low-fat diet plus intravenous rehydration, stop the fistula 20 d. All patients were cured by non-surgical treatment, no case of flap necrosis, infection and other complications. Conclusions Conservative treatment of patients with lymphatic fistula after thyroidectomy is significant, and lymphatic fistula often occurs on the right side. It is necessary to strengthen the understanding of the anatomy of the body and the normative operation of the operation to reduce the incidence of lymphatic fistula.