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目的:评价应用适形半球模压迫锁骨上区治疗26例颈淋巴结清扫术后并发乳糜瘘患者疗效。方法:对我院因甲状腺癌接受颈清术后的26例患者临床资料进行回顾性分析。该组患者并发乳糜瘘并采用适形半球模具锁骨上区压迫法,且自身对照纱布敷料压迫法。结果:甲状腺癌颈清扫术后并发乳糜瘘发生率为2.31%,纱布敷料团局部加压有效率为30.00%,半球模具加压术区持续负压引流80.00%。结论:采用适形半球模具锁骨上压迫治疗颈清扫术后乳糜瘘方法简单,易操作,治疗周期短,疗效显著。可在临床上推广使用。
OBJECTIVE: To evaluate the efficacy of conformal hemisphere compression on supraclavicular region in the treatment of 26 patients with chylous fistula after cervical lymph node dissection. Methods: A retrospective analysis was performed on the clinical data of 26 patients who underwent neck dissection in our hospital for thyroid cancer. The group of patients with chylous fistula and conformal hemisphere mold supraclavicular compression method, and self-control gauze dressing compression method. Results: The incidence of congenital chylous fistula after neck dissection was 2.31%. The effective rate of local pressurization of gauze dressing was 30.00%. The negative pressure drainage of hemispheric mold maintained a negative pressure of 80.00%. Conclusion: The method of applying conformal hemispheric supraclavicular compression on the chylous fistula after neck dissection is simple and easy to operate. The treatment period is short and the curative effect is remarkable. Can be used in clinical promotion.