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目的:探讨后腹腔镜肾蒂淋巴管结扎术治疗乳糜尿的疗效。方法:回顾性分析后腹腔镜肾蒂淋巴管结扎术治疗的12例乳糜尿患者的临床资料,其中男7例,女5例,年龄50~68岁,平均61岁,病史2~8年,左侧7例,右侧4例,双侧1例。均采用后腹腔镜肾蒂淋巴管结扎术治疗。结果:手术均成功,手术时间90~140min,术中出血量50~200ml。术后8d出院,术后随访无复发。结论:后腹腔镜肾蒂淋巴管结扎术治疗乳糜尿创伤小、恢复快、复发率低,是一种安全有效的治疗方法。
Objective: To investigate the effect of retroperitoneal laparoscopic renal pedicle lymphatic drainage in the treatment of chyluria. Methods: The clinical data of 12 cases of chyluria treated by retroperitoneal laparoscopic renal pedicle lymphatic ligation were retrospectively analyzed. There were 7 males and 5 females, aged from 50 to 68 years (mean 61 years) with a history of 2 to 8 years. Left in 7 cases, right in 4 cases, bilateral in 1 case. Laparoscopic renal pedicle lymphatic drainage were used. Results: All the operations were successful. The operation time was 90-140 minutes and the intraoperative blood loss was 50-200ml. Discharged 8 days after operation, no recurrence after surgery. Conclusion: Retroperitoneoscopic renal pedicle lymphatic drainage for the treatment of chyluria with small trauma, fast recovery and low recurrence rate is a safe and effective treatment.