术后乳糜腹水的介入放射治疗。

Hirokazu Ashida, Shunsuke Kisaki, Keitaro Enoki, Hiroya Ojiri
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引用次数: 0

摘要

术后乳糜腹水是一种罕见的情况,可引起腹部和盆腔手术。与未经治疗的术后淋巴漏相关的死亡率高达50%。保守治疗是主要治疗方法,多数患者病情好转。然而,一些患者继续表现出大量乳糜腹水,需要侵入性干预。许多外科系列表明,乳糜腹水患者的预后是不利的。因此,对微创介入放射学手术的需求正在增加,如结内淋巴管造影、胸导管、淋巴假性动脉瘤、淋巴结、肝淋巴栓塞和腹膜静脉分流术。本文综述了术后乳糜腹水的介入放射学的解剖学、物理学和诊断,以及该疾病的介入放射学治疗方案和策略,并参考了最近的文献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Interventional Radiology in Management of Postoperative Chylous Ascites.

Postoperative chylous ascites is a rare condition that can be caused by abdominal and pelvic surgery. The mortality rate associated with untreated postoperative lymphorrhea is as high as 50%. Conservative management is the primary treatment, and most patients improve. However, some patients continue to exhibit high-volume chylous ascites and need invasive intervention. Many surgical series have shown that the outcomes of patients with chylous ascites were unfavorable. Therefore, the need for minimally invasive interventional radiology procedures, such as intranodal lymphangiography, thoracic duct, lymphatic pseudoaneurysm, lymph node, hepatic lymphatic embolization, and peritoneovenous shunting, is increasing. This review describes the anatomy, physics, and diagnosis related to interventional radiology for postoperative chylous ascites as well as interventional radiology treatment options and strategies for this condition referring to recent literature.

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