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为探讨乳糜尿的较佳治疗方法,采用三种不同的手术方法共治疗乳糜尿66例,其中采用肾蒂淋巴管结扎术33例,14例同时施行肾纤维膜剥脱并翻转包裹肾蒂(简称A组);采用腹股沟淋巴结大隐静脉吻合术16例(简称B组);采用肾蒂淋巴管结扎同时行腹股沟淋巴结大隐静脉吻合术17例(简称C组)。结果53例获得随访,随访时间为2.2~14.0年。随访2~4年,乳糜尿消失率3组分别为76.0%、57.1%和92.3%;随访5年以上,治愈率3组分别为60.0%、50.0%和85.7%。认为肾蒂淋巴管结扎同时行腹股沟淋巴结大隐静脉吻合术的远期疗效明显优于其他术式。
In order to explore the better treatment of chyluria, three different surgical methods were used to treat 66 cases of chyluria, of which 33 cases were treated with renal pedicle lymphatic drainage and 14 cases were treated with renal fiber membrane stripping and flip the renal pedicle (referred to as Group A). 16 cases of inguinal lymph node great saphenous vein anastomosis (referred to as group B); 17 cases of inguinal lymph node saphenous vein anastomosis (referred to as group C). Results 53 cases were followed up for 2.2 ~ 14.0 years. Follow-up 2 to 4 years, the rate of disappearance of chyluria was 76.0%, 57.1% and 92.3% in 3 groups respectively. The cure rates were 60.0% and 50.0% 85.7%. That the distal pedicle lymphatic drainage of inguinal lymph node saphenous vein anastomosis of the long-term efficacy was significantly better than other surgical procedures.