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目的:探讨肾癌根治术后乳糜漏的原因、诊治及预防方法。方法:回顾性分析6例肾癌根治术后乳糜漏患者的临床资料。结果:肾根治术后乳糜漏的发生率为1.6%,所有乳糜漏均发生在左肾根治术后,经引流、低脂饮食、预防感染等措施治愈。结论:乳糜漏多发生于左侧肾癌根治性切除术后;引流液作乳糜试验可确诊乳糜漏;保守治疗常可获满意效果。
Objective: To investigate the causes, diagnosis, treatment and prevention of chyle leakage after radical operation of renal cell carcinoma. Methods: The clinical data of 6 patients with rickets after radical operation of renal cell carcinoma were analyzed retrospectively. Results: The incidence of chylous leakage after radical nephrectomy was 1.6%. All chylothorax occurred after radical nephrectomy and was cured by drainage, low-fat diet and prevention of infection. Conclusion: Chylothorax occurred mostly in the left renal cell carcinoma after radical resection; drainage for chylomicrons test can confirm chylothorax; conservative treatment can often be satisfied with the results.