摘要
目的总结颈清扫术后出现乳糜胸的诊断与治疗经验。方法回顾性分析我科12例颈清扫术后发生乳糜胸患者的临床资料。结果12例患者术后出现进行性胸闷及气短,胸正、侧位片表现为单侧或双侧胸腔积液,胸水苏丹Ⅲ染色均为阳性。8例为单侧乳糜胸,4例为双侧乳糜胸。9例经保守治疗痊愈,3例经手术后痊愈。结论颈清扫术后发生乳糜胸是较少见的并发症,诊断根据患者的症状、胸部X线片、胸腔穿刺和胸水的苏丹Ⅲ染色来确定。乳糜胸的治疗多以保守治疗为主,少数引流>1000 ml/日需开胸结扎胸导管。
OBJECTIVE To review the diagnosis and treatment of the chylothorax after neck dissection. METHODS The clinical data of 12 patients with chylothorax after neck dissection were analyzed retrospectively. RESULTS All of the 12 patients manifested chest distress and short breath. Chest radiograph demonstrated unilateral or bilateral pleural effusion. The pleural fluid of the patients were positive in Sudan Ⅲ dyeing. Eight patients manifested unilateral chylothorax and four patients manifested bilateral chylothorax. Nine patients were cured by conservative treatment and three patients were cured by thoracic duct ligation. CONCLUSION Chylothorax is an uncommon complication after neck dissection. The diagnosis of the disease depends on the symptoms, chest radiograph, thoracentesis and the Sudan Ⅲ dyeing of the pleural fluid. Most of the patients can be cured by conservative method. A few of them with drainage more than 〉 1000 ml per day had to be cured by operation.
出处
《中国耳鼻咽喉头颈外科》
北大核心
2008年第3期117-118,共2页
Chinese Archives of Otolaryngology-Head and Neck Surgery
