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目的探讨甲状腺癌颈淋巴结清扫术后并发乳糜漏的预防、诊断及治疗效果。方法术后并发乳糜漏16例中9例行保守治疗,7例行再次手术(打开手术切口,找到漏口,结扎、缝扎或局部胸大肌皮瓣填塞)。结果术后并发乳糜漏16例中9例经保守治疗治愈,7例经再次手术治愈。结论对甲状腺癌颈淋巴结清扫术并发的乳糜漏术中应加强预防,术后早诊断,并及时采取适当方法处理。
Objective To investigate the prevention, diagnosis and treatment of chylothorax after cervical lymph node dissection of thyroid cancer. Methods Nineteen of 16 patients with chylothorax were treated conservatively and 7 underwent reoperation (open surgical incision, find leak, ligation, suture or partial pectoralis major muscle flap packing). Results Of the 16 cases with chylothorax, 9 cases were cured by conservative treatment and 7 cases were cured by reoperation. Conclusions The prevention and treatment of chylothorax in thyroidectomy with neck lymph node dissection should be strengthened, and the diagnosis should be made early after operation. Appropriate treatment should be taken in time.