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目的探讨颈淋巴结清扫术后乳糜漏的防治方法。方法回顾性分析了289例颈淋巴清扫手术术后发生乳糜漏11例患者的临床资料。结果乳糜漏的发生率为发生率3.82%,9例经保守治疗治愈,2例经再次手术治愈。结论术者对解剖的熟悉程度和谨慎的手术操作是预防发生乳糜瘘的关键,颈淋巴结清扫术后的乳糜漏应及早诊断,术中应加强预防并及时处理。
Objective To investigate the prevention and treatment of chyle leakage after cervical lymph node dissection. Methods The clinical data of 11 cases of chylothorax occurred in 289 cases of cervical lymph node dissection were retrospectively analyzed. Results The incidence of chyle leakage was 3.82%. Nine cases were cured by conservative treatment and two cases were cured by reoperation. Conclusion The surgeon familiar with the anatomy and careful surgical operation is the key to prevent the occurrence of chylous fistula. Chylothorax should be diagnosed early after cervical lymph node dissection, and the prevention and timely treatment should be strengthened in the operation.