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甲状腺癌颈部淋巴结清扫术后乳糜漏的诊断与治疗

李鹤 艾志龙

外科理论与实践2026,Vol.31Issue(4):293-299,7.
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外科理论与实践2026,Vol.31Issue(4):293-299,7.DOI:10.16139/j.1007-9610.2026.04.03

甲状腺癌颈部淋巴结清扫术后乳糜漏的诊断与治疗

Diagnosis and treatment of chylous leakage following cervical lymph node dissection for thyroid cancer

李鹤 1艾志龙1

作者信息

  • 1. 复旦大学附属中山医院普外科 甲状腺乳腺外科,上海 200032
  • 折叠

摘要

Abstract

Chylous leakage is an uncommon but potentially severe complication following cervical lymph node dissection for thyroid cancer.Persistent or high-output leakage may result in hypoproteinemia,malnutrition,fluid and electrolyte disturbances,immunosuppression,wound infection,skin-flap necrosis,and chylothorax,and in severe cases,it may cause respiratory or circulatory compromise.Based on the Chinese expert consensus,recent case series,retrospective studies,and personal experiences,this paper summarized the epidemiology,risk factors,clinical classification,diagnostic pathways,stepwise treatment strategies,and prognosis of chylous leakage,providing a reference for standardized and individualized clinical management.

关键词

甲状腺癌/颈部淋巴结清扫/乳糜漏/胸导管/乳糜胸/介入治疗

Key words

Thyroid cancer/Cervical lymph node dissection/Chylous leakage/Thoracic duct/Chylothorax/Interventional treatment

分类

医药卫生

引用本文复制引用

李鹤,艾志龙..甲状腺癌颈部淋巴结清扫术后乳糜漏的诊断与治疗[J].外科理论与实践,2026,31(4):293-299,7.

外科理论与实践

1007-9610

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