协和医学杂志

2020, (06) 732-736

[打印本页] [关闭]
本期目录(Current Issue) | 过刊浏览(Past Issue) | 高级检索(Advanced Search)

盆腹腔淋巴切除术后淋巴漏的诊治现状
The Diagnosis and Treatment of Lymphatic Leakage after Gynecological Pelvic Surgery

张啸宇;沈杨;
ZHANG Xiao-yu;SHEN Yang;Department of Obstetrics and Gynecology,Zhongda Hospital Southeast University;

摘要(Abstract):

淋巴漏是妇科盆腔术后常见的并发症,对于存在肥胖、贫血、术中出血过多及淋巴结肿大等高危因素的患者,应给予足够重视。淋巴漏发生后应首选保守治疗,包括禁食、营养支持、药物治疗等;对于保守治疗不佳的难治性患者,可考虑手术或介入治疗,目前超声引导下结内淋巴管造影术不失为一种可选择的方法。本文回顾盆腹腔淋巴系统的解剖及生理,分析妇科术后淋巴漏的形成原因、高危因素、治疗方法及预防措施,以期为临床医生提供指导和帮助。
Lymphatic leakage is one of the postoperative complications in gynecologic malignancies, which we need to pay more attention to, especially for patients with higher-risk factors, such as obesity, anemia, excessive intraoperative blood loss and lymphadenectasis. Conservative methods are preferred after lymphatic leakage, including fasting, nutritional support, drug therapy, etc. For patients irresponsive to conservative methods, surgical treatment may be considered; ultrasound-guided intracranial lymphangiography is also a good alternative.In this article, we will review the anatomy and physiology of the lymphatic system, discuss the causes and high-risk factors of lymphatic leakage after gynecological pelvic surgery, and systematically elaborate the treatment methods and preventive measures based on our clinical experience.

关键词(KeyWords): 妇科盆腔手术;淋巴漏;治疗;预防
gynecological pelvic surgery;lymphatic leakage;treatment;prevention

Abstract:

Keywords:

基金项目(Foundation): 国家自然科学基金(81673130,82072078)~~

作者(Author): 张啸宇;沈杨;
ZHANG Xiao-yu;SHEN Yang;Department of Obstetrics and Gynecology,Zhongda Hospital Southeast University;

Email:

DOI:

参考文献(References):

扩展功能
本文信息
服务与反馈
本文关键词相关文章
本文作者相关文章
中国知网
分享