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乳糜池

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The triglyceride level in the lymphocele is not higher than that in serum, which is much higher than that in chyle.

淋巴管瘤中的甘油三脂含量跟血清差不多,但在乳糜池中就很高了。

Lymphatic vessels in the lower lumbar region are distal to the cisterna chyli; therefore, the leaked fluid looks rather clear, unlike typical chyle fluid.

下腰区的淋巴管远离乳糜池,因此,其渗出的液体是清亮的,不同于典型的乳糜液。

Note, however, that it is difficult to identify the lymphatic vessels, especially below the cisterna chyli at the time of surgery.

但需要注重的是,区分淋巴管是很困难的,尤其是术中对于乳糜池以下的管道。

Leakage of lymph from below the cisterna chyli can cause a retroperitoneal lymphocele, which is an accumulation of clear fluid.

乳糜池以下的淋巴漏则可以引起腹膜后淋巴管瘤,它是由清亮的液体聚集成的。

In fact, surgeons seldom see the cisterna chyli during upper lumbar spinal surgeries.

事实上,在上腰椎手术时,术者在术中很少会看到乳糜池

One hundred cases who met the inclusion criteria were included into the study for observation of the depiction rate, location and morphology of cisterna chyli and thoracic duct.

将其中满足纳入标准的100例作为研究对象,观察乳糜池和胸导管的显示情况、位置和形态。

Lymphatics from the lower extremities and gastrointestinal tract ascend cephalad to the cisterna chyli, a 5- to 7-cm-long saccular dilation of the lymphatic system, anterior to the first or second lumbar vertebrae.

下肢和胃肠道的淋巴向头部方向流动最终汇入乳糜池乳糜池是一个位于第一和第二腰椎前的5-7cm长的囊状扩张。

Therefore, a lymphocele caused by injury to the lymphatic system above the cisterna chyli is also called "chyloascites" or "chylothorax," according to the contents and location of the accumulation.

因此,由于其含内容物和聚集的部位,乳糜池以上系统损伤造成的淋巴管瘤又叫作&乳糜腹水&或&乳糜胸&。

Traumatic or surgical injuries to this system can cause leakage of lymph and result in the formation of a lymphocele, which is defined as an accumulation of lymph surrounded by pseudomembranes (layers of tissue with a reaction of the surrounding tissue).10 Lymph drainage above the cisterna chyli is rich in chylomicrons and has a creamy white appearance because of the contribution of the gastrointestinal lymphatics.14 Below the cisterna chyli, however, lymph is serous in nature and has a clear yellow color and a significantly lower triglyceride content.

外伤或手术对这个系统造成损伤可以引起淋巴漏,最终导致淋巴管瘤形成。淋巴管瘤即为有假膜(由于四周组织反应形成的组织层)包裹的淋巴聚集。由于胃肠道淋巴的关系,在乳糜池以上的淋巴管富含乳糜微粒,有奶油样的白色外观。而乳糜池一下的淋巴则为浆液性质,为清亮黄色,其甘油三脂的含量明显降低。

In the literature, the incidence of a retroperitoneal lymphocele following surgery is 0.6 to 18% in renal transplantation,3,4,12 20 to 30% in radical surgery with lymphadenectomy for gynecological cancers,2,6,17 and 0.8 to 11% in urological procedures.9,15 There have been several reports on the formation of chylothorax or chyloascites following thoracic or upper lumbar spinal surgery because of injuries to the thoracic duct or cisterna chyli.1,8,16,1821 However, cases of retroperitoneal lymphoceles are extremely rare in lower lumbar spinal surgery.

在文献报导的引起腹膜后淋巴管瘤的手术中,肾移植中其发生率为0.6 到18%,妇科肿瘤淋巴结清扫根治性手术中为20 to 30%,泌尿系中为 0.8 to 11%。也曾经有几篇报导显示胸椎或上腰椎手术造成胸导管或乳糜池损伤引起乳糜胸或乳糜腹水。但是,下腰椎手术造成腹膜后淋巴管瘤则很少见。

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