43例乳糜尿患者行手术治疗,其中吻合术13例,结扎术39例次(6例为吻合术后复发,3例行双侧结扎术)。结扎术36例中,随访31例,26例治愈。另5例双侧乳糜尿仅作一侧手术,近期乳糜尿消失,仍在随访中。认为乳糜尿手术仍以肾蒂淋巴管结扎效果最好,术后对肾功能无影响。 Thirty-three cases of chyluria underwent surgical treatment, including 13 cases of anastomosis, 39 cases of ligation (6 cases of anastomosis recurrence and 3 cases of bilateral ligation). Among the 36 cases of ligation, 31 cases were followed up and 26 cases were cured. The other 5 cases of bilateral chyluria only for one operation, the recent disappearance of chyluria is still under follow-up. That chyluria surgery is still the best lymphatic drainage of renal pedicle ligation, no effect on renal function.