| 芦长廷,杨建军,邹传兵,等.经后腹腔镜肾蒂淋巴管剥脱结扎术结合中药治疗乳糜尿 23例报告[J].安徽医药,2019,23(10):2050-2052. |
| 经后腹腔镜肾蒂淋巴管剥脱结扎术结合中药治疗乳糜尿 23例报告 |
| Clinical observation of the treatment of chyluria by laparoscopic stripping of renal lymphatic vessel combined with traditional Chinese medicine:a report of 23 cases |
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| DOI：10.3969/j.issn.1009?6469.2019.10.037 |
| 中文关键词: 乳糜尿 腹腔镜检查 结扎术 肾蒂淋巴管剥脱结扎术 中药 |
| 英文关键词: Chyluria Ligation Laparoscopic Stripping of renal lymphatic vessel Traditional Chinese medicine |
| 基金项目:江苏省教育厅—2018年江苏省研究生实践创新计划( SJCX18_0471) |
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| 中文摘要: |
| 目的探讨经后腹腔镜肾蒂淋巴管剥脱结扎术结合中药治疗乳糜尿的临床价值。方法选取 2010年 3月至 2017年 8月在江苏省中西医结合医院泌尿外科诊治的 23例乳糜尿病人，采用经后腹腔镜肾蒂淋巴管剥脱结扎术，术后服用中药(程氏萆薢分清饮加减)治疗。结果 23例病人手术均顺利实施，手术治愈率 100%，术后 24 h乳糜尿均消失，手术时间( 115.87±33.29) min，术中出血( 52.36±6.37)mL，术后住院时间( 5.83±0.78)d，术后 3d乳糜尿试验均为阴性。 3例术后有轻度血尿，出院前消失。病人出院后随访 12~18个月，均无复发。结论经后腹腔镜肾蒂淋巴管剥脱结扎术结合中药治疗乳糜尿，疗效满意，具有治愈率高、创伤小、出血少、恢复快及复发率低等优点。 |
| 英文摘要: |
| Objective To explore the clinical value of the treatment of chyluria by laparoscopic stripping of renal lymphatic vesselcombined with traditional Chinese medicine.Methods Twenty?three patients with chyluria who underwent urinary surgery fromMarch 2010 to August 2017 in Jiangsu Provincial Hospital of Integrated Traditional Chinese and Western Medicine were treatedwith retroperitoneal laparoscopic renal pedicle lymphatic stripping and ligation.After operation，they were treated with traditional Chinese medicine(Cheng’s fenqingyin added or subtracted formula).Results All the 23 patients underwent surgery successfully.The cure rate was 100%.The chyluria disappeared 24 hours after operation.The operation time was(115.87±33.29)min，the intra? operative blood loss was(52.36±6.37)mL，and the postoperative hospital stay was(5.83±0.78)d.The chyle urine test was negative on the 3rd day postoperatively.Three patients had mild hematuria after surgery，which disappeared before discharge.The patientswere followed up for 12 to 18 months after discharge and there was no recurrence.Conclusion The efficacy of the treatment ofchyluria by laparoscopic stripping of renal lymphatic vessel combined with traditional Chinese medicine is satisfactory.It has the ad?vantages of high cure rate，small trauma，less blood loss，quick recovery and low recurrence rate. |
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