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目的探讨后腹腔镜肾蒂淋巴管剥脱术治疗乳糜尿的手术方法和疗效。方法后腹腔镜肾蒂淋巴管剥脱术治疗乳糜尿7例。结果7例手术均成功,手术时间90～210分钟,平均132分钟,术中出血(30～200)ml,平均102ml,未发生严重外科并发症,平均住院9.1天.出院时患者尿液清亮,尿乙醚试验全部阴性。随访(3～26)月,平均16月,1例患者复发,6例无复发。结论后腹腔镜肾蒂淋巴管剥脱术治疗乳糜尿,疗效好,创伤小,恢复快,是治疗孔糜尿安全、有效、截创的手术方法。
Objective To investigate the surgical method and effect of retroperitoneal laparoscopic renal pedicle lymphatic dissection in the treatment of chyluria. Methods Laparoscopic renal pedicle lymphatic drainage in the treatment of chyluria in 7 cases. Results The operation was successful in 7 cases, with an average operation time of 90 to 210 minutes, an average of 132 minutes, an intraoperative bleeding of 30 to 200 ml, an average of 102 ml, no serious surgical complications and an average hospitalization of 9.1 days. Urine ether test all negative. Follow-up (3- 26 months), an average of 16 months, 1 patient relapsed, 6 patients without recurrence. Conclusion Laparoscopic renal pedicle lymphatic dissection in the treatment of chyluria, curative effect is good, less trauma, rapid recovery, is a safe, effective, and truncated surgical method for treating chyluria.