[1]王晓宁,贾兰宁,何向辉.甲状腺癌侧颈淋巴结清扫术后并发乳糜漏的比较研究[J].天津医科大学学报,2021,27(03):256-258,265.
WANG Xiao-ning,JIA Lan-ning,HE Xiang-hui.Comparative study of chyle leakage after lateral neck lymph node dissection for thyroid cancer[J].Journal of Tianjin Medical University,2021,27(03):256-258,265.
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甲状腺癌侧颈淋巴结清扫术后并发乳糜漏的比较研究(PDF)
《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]
- 卷:
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27卷
- 期数:
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2021年03期
- 页码:
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256-258,265
- 栏目:
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临床医学
- 出版日期:
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2021-05-30
文章信息/Info
- Title:
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Comparative study of chyle leakage after lateral neck lymph node dissection for thyroid cancer
- 文章编号:
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1006-8147(2021)03-0256-03
- 作者:
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王晓宁; 贾兰宁; 何向辉
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天津医科大学总医院普通外科,天津 300052
- Author(s):
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WANG Xiao-ning; JIA Lan-ning; HE Xiang-hui
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Department of General Surgery,General Hospital,Tianjin Medical University, Tianjin 300052,China
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- 关键词:
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甲状腺癌; 侧颈淋巴结清扫术; 乳糜漏
- Keywords:
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thyroid cancer; lateral neck lymph node dissection; chyle leakage
- 分类号:
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R736.1
- DOI:
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-
- 文献标志码:
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A
- 摘要:
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目的:探讨甲状腺癌侧颈淋巴结清扫术后并发乳糜漏的临床特点、原因。方法:收集2014年1月—2019年3月于天津医科大学总医院普通外科行甲状腺癌侧颈淋巴结清扫手术患者的临床资料,根据患者术后是否出现乳糜漏分为乳糜漏组(7例)和对照组(140)例,将两组患者的临床资料进行回顾性对照分析。结果:乳糜漏组和对照组体重、体重指数、颈清侧别、淋巴结清扫个数、淋巴结转移个数、是否清扫Ⅴ区淋巴结、是否清扫Ⅵ区淋巴结、Ⅳ区淋巴结有无转移、Ⅴ区淋巴结有无转移、Ⅵ区淋巴结有无转移,差异均无明显统计学意义(均P>0.05)。结论:患者的体重指数、颈清侧别、淋巴结清扫和转移个数、淋巴结清扫和转移区域对甲状腺癌侧颈淋巴结清扫术后是否发生乳糜漏没有影响。
- Abstract:
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Objective: To investigate the clinical characteristics and causes of chyle leakage after lateral neck lymph node dissection for thyroid cancer. Methods: The clinical data of patients undergoing lateral neck lymph node dissection for thyroid cancer in general surgery department of General Hospital of Tianjin Medical University from January 2014 to March 2019 were collected for retrospective analysis. According to whether there was chyle leakage post operation or not,the patients were divided into chyle leakage group (7 case) and control group(140 case). Results:There were no significant differences between the two groups in clinical characteristics including weight,body mass index(BMI),the side of lateral neck lymph node dissection,the number of dissected lymph nodes,the number of metastasis lymph nodes,whether levelⅤlymph node dissection or not,whether level Ⅵ lymph node dissection or not,whether level Ⅳ lymph node metastasis or not,whether level Ⅴ lymph node metastasis or not,and whether level Ⅵ lymph node metastasis or not(all P>0.05). Conclusion: The patients′ BMI,the side of lateral neck lymph node dissection,the number of lymph nodes that dissected or metastasized,the lymph node dissection and metastasis area have no effect on whether chyle leakage occurs after lateral neck lymph node dissection for thyroid cancer.
参考文献/References:
[1] 郝伟静,于洋,郑向前,等. 甲状腺癌中央区淋巴结清除术后乳糜漏的防治[J]. 中国肿瘤临床,2016,43(2):72
[2] 刘凯,闵翔,张思林,等. 低领弧形切口功能性颈廓清术治疗甲状腺癌临床研究[J]. 中国耳鼻咽喉颅底外科杂志,2017,23(6):546
[3] 艾志龙,王聪. 甲状腺癌淋巴结清扫术后乳糜漏的诊治策略[J]. 外科理论与实践,2016,21(4):294
[4] 马丹,刘敏,李红,等. 颈段胸导管的应用解剖与颈廓清术并发乳糜漏的防治[J]. 局解手术学杂志,2010,19(6):471
[5] Langford R J,Daudia A T,Malins T J. A morphological study of the thoracic duct at the jugulo-subclavian junction[J]. J Craniomaxillofac Surg,1999,27(2):100
[6] 李正江,唐平章. 颈廓清术后乳糜瘘的治疗及预防[J]. 中华耳鼻咽喉科杂志,1998,33(4):52
[7] 杜梅红,张小路,杨中杰. 胰腺实性假乳头状瘤7例CT分析[J].中国肿瘤外科杂志,2015,7(5):301
[8] 孙韶龙,高峰,吴鑫,等. 甲状腺癌颈廓清术后乳糜瘘的治疗体会[J]. 现代肿瘤医学,2014,22(9):2056
[9] Roh J L,Kim D H,Il Park C. Prospective identification of chyle leakage in patients undergoing lateral neck dissection for metastatic thyroid cancer[J]. Ann Surg Oncol,2008,15(2):424
[10] 彭江涛,杨可,张旭. 分化型甲状腺癌颈淋巴结清扫范围分析[J].中华实用诊断与治疗杂志,2014,28(8):784
[11] Belloso A,Saravanan K,De Carpentier J. The community management of chylous fistula using a pancreatic lipase inhibitor(orlistat)[J].Laryngoscope,2006,116(10):1934
[12] Polistena A,Vannucci J,Monacelli M,et al. Thoracic duct lesions in thyroid surgery:an update on diagnosis,treatment and prevention based on a cohort study[J]. Int J Surg,2016,28(Suppl 1):S33
[13] Santaolalla F,Anta J A,Zabala A,et al. Management of chylous fistula as a complication of neck dissection: a 10-year retrospective review[J]. Eur J Cancer Care (Engl),2010,19(4):510
[14] Evans J,Clark M F,Mincher L,et al. Chylous effusions complicating lymphoma: a serious event with octreotide as a treatment option[J].Hematol Oncol,2003,21(2):77
相似文献/References:
[1]刘晓楠 综述,邸旭 审校.钙化分型在甲状腺癌中的临床病理意义及相关分子机制探讨[J].天津医科大学学报,2024,30(03):277.[doi:10.20135/j.issn.1006-8147.2024.03.0277]
备注/Memo
- 备注/Memo:
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作者简介 王晓宁(1992-),男,医师,硕士,研究方向:甲状腺外科;
通信作者:何向辉,E-mail: humphreyhe@163.com。
更新日期/Last Update:
2021-05-30