中国组织工程研究与临床康复2011，Vol.15Issue(21)：3987-3990,4.DOI:10.3969/j.issn.1673-8225.2011.21.045
医用生物胶黏合封堵乳糜瘘12例
Medical biological adhesive treatment of chylous fistula in 12 cases
吴晶 1冯元勇 1金晓明 1王增峰 1苗海平 1闫萍 1尚伟1
作者信息
- 1. 青岛大学医学院附属医院口腔颌面外科,山东省青岛市,266003
- 折叠
摘要
Abstract
BACKGROUND: As for the treatment of chylous fistula concurrent in oral-maxillofacial tumor resection simultaneously undergoing neck lymph node dissection, many different approaches have been put forward. A simple surgical ligation, strong negative pressure drainage, filling the muscle tissue alone or a combination of the above methods are all unsatisfactory regarding the prognosis and curative effect.OBJECTIVE: To evaluate the validity of medical biological adhesive cohering peripheral autologous muscle tissues to block thoracic duct fistula in order to prevent chylous fistula following neck lymph node dissection.METHODS: All of the 12 patients were detected and diagnosed as chylous fistula in neck lymph node dissection surgery, the wounds were immediately sutured and treated with medical biological adhesive cohering peripheral autologous muscle tissues to block thoracic duct fistula. RESULTS AND CONCLUTION: Of all the 12 patients, 10 recovered without chylous fistula or severe complications, and reoperations were adopted to cure the failed 2 cases. All patients were visited 3 months postoperatively, no recurrence of chylous fistula, local stimulus response or allergy was found. It is suggested medical adhesive to block thoracic duct fistula may be an effective and safe way for prevent chylous fistula following neck lymph node dissection.关键词
淋巴转移/颈淋巴清扫术/乳糜瘘/医用生物胶/预防分类
医药卫生引用本文复制引用
吴晶,冯元勇,金晓明,王增峰,苗海平,闫萍,尚伟..医用生物胶黏合封堵乳糜瘘12例[J].中国组织工程研究与临床康复,2011,15(21):3987-3990,4.
