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近20年来本院共收治乳糜腹水22例,其中11例的病因经确诊为肝硬化,占同时期乳糜腹水病例的半数。本系列中肝硬化乳糜腹水的发病率显著高于国外资料。11例中8例采用腹水浓缩静脉回输治疗,此8例中5例分别进行了肠系膜上静脉-下腔静脉分流术(3例),Leveen管分流术(1例)及胸导管-颈静脉分流术(1例)。本文就肝硬化乳糜腹水的发病率、发病机理及治疗,结合文献进行讨论。
In the past 20 years, our hospital treated a total of 22 cases of chylous ascites, of which 11 cases were diagnosed with cirrhosis, accounting for half of the cases with chylous ascites. The incidence of cirrhosis chylous ascites in this series was significantly higher than foreign data. Of the 11 cases, 8 cases were treated with ascites concentrated venous return. Among the 8 cases, 5 cases had superior mesenteric vein-inferior vena cava shunt (3 cases), Leveen tube shunt (1 case) and thoracic duct-jugular vein Shunt (1 case). In this paper, the incidence of chylous ascites cirrhosis, pathogenesis and treatment, combined with the literature to be discussed.