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目的探讨腹股沟区淋巴静脉分流加硝酸银肾盂灌注治疗乳糜尿的疗效。方法采用2％硝酸银肾盂灌注加同侧腹股沟区淋巴结与大隐静脉主干吻合方法治疗乳糜尿患者28例。其中男16例,女12例,年龄41～68岁,平啕46岁。病史6个月～30年,平均3．6年。乳糜尿来自左肾14例,右肾12例,双肾2例。结果术后3 d内尿乳糜试验转阴者8例,7 d转阴者17例,11 d转阴者3例。27例随访3～12年,复发3例,复发率11％。结论腹股沟区淋巴静脉分流加硝酸银肾盂灌注是治疗乳糜尿简单、安全、有效的方法,适宜于基层医院开展。
Objective To investigate the effect of inguinal lymphatic venous shunt and silver nitrate injection on chyluria. Methods 28 cases of chyluria were treated with 2% silver nitrate renal pelvic perfusion plus ipsilateral inguinal lymph node and saphenous vein primary anastomosis. Including 16 males and 12 females, aged 41 to 68 years old, flat 啕 46 years old. History of 6 months to 30 years, an average of 3.6 years. Chyluria from the left kidney in 14 cases, 12 cases of right kidney, kidney in 2 cases. Results In 3 days after operation, urine chyme test turned negative in 8 cases, 7 days negative in 17 cases, 11 days negative in 3 cases. Twenty-seven cases were followed up for 3 to 12 years and 3 cases were relapsed with a recurrence rate of 11%. Conclusion The inguinal lymph node venous shunt plus silver nitrate renal pelvis is a simple, safe and effective method for the treatment of chyluria, which is suitable for primary hospital.