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find Keyword "乳糜瘘" 4 results
  • 甲状腺癌术后乳糜瘘的观察与护理

    【摘要】 目的 总结甲状腺癌行颈廓清术并发乳糜瘘的治疗及护理方法。 方法 2008年8月-2009年10月,对8例甲状腺癌行颈廓清术发生乳糜瘘患者,采用局部加压包扎,引流管接负压器充分引流或手术缝扎乳糜管等治疗,并进行心理护理、营养指导、引流管监护、并发症的预防等专科护理和基础护理。 结果 4例患者经保守治疗、4例患者采用手术缝扎乳糜管,治愈出院。 结论 对甲状腺癌颈廓清术后并发乳糜瘘患者,采取适当的治疗方法及正确的护理措施,能促进患者尽快早日康复出院,缩短住院时间和减少经济负担。

    Release date:2016-09-08 09:24 Export PDF Favorites Scan
  • 颈清扫术后乳糜瘘治疗方法的比较

    目的 比较颈清扫术后乳糜瘘治疗方法的临床效果。 方法 回顾分析1993年7月-2009年8月,就诊的21例根治性颈清扫术后乳糜瘘的治疗方法及其临床效果。 结果 加压包扎法5例,加压包扎辅以胃肠外营养6例,手术探查结扎2例,结扎后辅以生物胶覆盖结扎创面2例,行负压吸引加胃肠外营养6例,均治愈。5例单纯加压包扎法用时4~8 d,其中1例辅以拆线引流碘仿纱条填塞加压后愈合,4例手术止瘘者均Ⅰ期愈合。其余外加压2 d无效,行外加压辅以胃肠外营养或负压吸引辅以胃肠外营养后愈合。 结论 多种乳糜瘘的治疗方法均有明显临床效果,应该根据患者的具体情况采用。其中胃肠外营养在治疗中占有重要的地位。

    Release date:2016-09-08 09:49 Export PDF Favorites Scan
  • Treatment for Chylous Fistula after Neck Dissection with Adhesive Vacuum Assisted Washing and Aspiration

    ObjectiveTo evaluate the role of the treatment for chylous fistula after neck dissection with adhesive vacuum assisted washing and aspiration. MethodsFrom January 2004 to December 2010, 20 patients with chylous fistula after neck dissection treated with adhesive vacuum assisted washing and aspiration were reviewed. ResultsEighteen of 20 recovered in 10 to 12 days’ treatment without any complications. Drainage volume bagan to decrease noticeably in 5 days. Two patients needed reoperation and were discharged on day 15 and 17 respectively after operation. ConclusionThe treatment with adhesive vacuum assisted washing and aspiration is a safe and effective way for chylous fistula after neck dissection.

    Release date:2016-09-08 10:45 Export PDF Favorites Scan
  • Chyle Fistula after Neck Radical Dissection Using Harmonic Scalpel

    ObjectiveTo investigate the cause and treatment for chyle fistula after neck radical dissection using harmonic scalpel. MethodsFrom January 2005 to April 2009, 105 patients with thyroid carcinoma underwent thyroidectomy by harmonic scalpel (harmonic scalpel group) and 110 patients with thyroid carcinoma by conventional procedures (conventional group). Postoperative chyle fistula in all the cases was studied retrospectively. ResultsThe incidence of chyle fistula was 5.71% (6 of 105 patients) in the harmonic scalpel group and 0.91% (1 of 110 patients) in the conventional group. The difference was significant between two groups (Plt;0.05). ConclusionsHarmonic scalpel increases the risk of chyle fistula in neck radical dissection. The conventional procedures with exposing and preserving or ligating the thoracic duct can reduce the risk significantly.

    Release date:2016-09-08 10:40 Export PDF Favorites Scan
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