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目的:对43例足背淋巴管造影检查,以了解乳糜尿病人淋巴动力学改变。方法:采用碘苯酯16～18ml经足背淋巴管注射后电透下摄片观察。结果:43例病人中,仅有3例可见典型的淋巴管迂曲,扩张,淋巴管呈串珠状改变,粗细不均,同时肾盂显影,但大部分病人仅见肾蒂区和肾盂淋巴管显影,并未见淋巴管明显扩张,迂曲改变。电透下摄片胸导管全程显影者4例,上2/3显影者28例,6例摄片显影不满意,5例未摄片,但未见胸导管阻塞、扭曲,扩张。结论:认为淋巴系动力学改变是造成乳糜尿的根本原因。肾蒂区和肾盂淋巴管显影,并未见淋巴管明显扩张,迂曲改变。电透下摄片胸导管全程显影者4例,上2/3显影者28例,6例摄片显影不满意,5例未摄片,但未见胸导管阻塞、扭曲,扩张。结论:认为淋巴系动力学改变是造成乳糜尿的根本原因。
Objective: To study the lymphatic dynamic changes in 43 cases of dorsal lymphangiomas. Methods: The iodine phenyl ester 16 ~ 18ml by lymphatic dorsal lymphatic injection after radiography. RESULTS: Of the 43 patients, typical lymphatic vessel tortuosity, dilatation, bellow tube change, uneven thickness, and renal pelvis development were seen in only 3 of the 43 patients, but most of the patients only had a development of the renal pedicle region and lymphatic vessels in the renal pelvis No significant expansion of lymphatics, tortuous changes. Transdermal radiography thoracic duct full development in 4 cases, 2/3 developers in 28 cases, 6 cases were not satisfied with the imaging development, 5 cases did not radiograph, but did not see the thoracic duct obstruction, distortion, expansion. Conclusion: It is considered that the change of lymphatic system dynamics is the fundamental reason of chyluria. Renal pedicle area and renal pelvis lymphatic imaging, no significant expansion of lymphatic vessels, tortuous changes. Transdermal radiography thoracic duct full development in 4 cases, 2/3 developers in 28 cases, 6 cases were not satisfied with the imaging development, 5 cases did not radiograph, but did not see the thoracic duct obstruction, distortion, expansion. Conclusion: It is considered that the change of lymphatic system dynamics is the fundamental reason of chyluria.