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乳糜管

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In this case report, we described an oral cancer patient who had a thoracic duct tear during RND, which caused a severe post -operative chyle leakage, and was cured by minocycline sclerotherapy.

本病例为一左下齿龈癌经肿瘤切除手术后,发现左侧颈部淋巴转移,而进行第二阶段之左颈部淋巴廓清手术,因手术过程伤及胸管,造成术后严重之乳糜液漏,伤口延迟愈合,最后采用局部注射硬化剂-的硬化疗法,而使伤口情况获得控制、愈合之病例报告。

Results There were statistical significances between Group A and B on the incidence rate of the chylothorax after operation(A:1/45;B:9/92,P=0.03), thoracic drainage within 48 h(the first 24 h:A:254.33 ml±45.15 ml,B:493.61 ml±76.67 ml;the second 24 h:A:141.11 ml±25.53 ml,B:323.39 ml±58.17 ml;P<0.05),the decannulation rate within 3 days (A:94.78%;B:62.21%,P=0.001),complication(A:3/45; B:0/92, P=0.034) and cancer metastasis of supraclavicular lymph nodes (A:0/45;B:9/92,P=0.03) by follow-up.

结果 两组患者在术后乳糜胸发生率(A:1/45;B:9/92,P=0.03)、术后48 h胸腔引流量〔第1个24 h:A:(254.33±45.15)ml,B:(493.61±76.67)ml;第2个24 h:A:(141.11±25.53)ml,B:(323.39±58.17)ml;P<0.05〕、3天内拨管率(A:94.78%;B:62.21%,P=0.001)、并发症(A:3/45,B:0/92,P=0.034)以及随访锁骨上淋巴结转移(A:0/45,B:9/92,P=0.03)等方面有统计学意义。

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