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目的探讨重症乳糜尿合理有效的治疗方式。方法回顾分析１０余年本科连续收治的４３例病人的临床资料，总结术前、术中及术后的治疗体会。结果经妥善术前准备后，肾蒂淋巴管剥脱术能迅速控制乳糜尿，单侧有效率１００％，双侧病例重侧术后明显改善，术后营养状况迅速纠正。结论重症乳糜尿是一泌尿外科急症，需积极术前准备后，尽早选择手术治疗。
Objective To investigate the reasonable and effective treatment of severe chyluria. Methods Retrospective analysis of 10 cases of undergraduate continuous treatment of 43 cases of clinical data, summarize the preoperative, intraoperative and postoperative treatment experience. Results After proper preoperative preparation, lymphatic drainage in renal pedicle could control chyluria rapidly. The effective rate of unilateral surgery was 100%. The postoperative recovery of bilateral severe cases was significantly improved and the nutritional status was corrected promptly. Conclusions Severe chyluria is a urological emergency requiring active surgical preparation as soon as possible.