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首页> 外文期刊>Radiology Case Reports >Retrograde transvenous lymphatic embolization for postoperative chylous ascites: A report of three cases and literature review
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Retrograde transvenous lymphatic embolization for postoperative chylous ascites: A report of three cases and literature review

机译：术后乳糜腹水逆行淋巴细胞栓塞：三种病例报告及文献综述

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Percutaneous transabdominal lymphangiography and embolization have been reported as useful approaches for intractable chylothorax or chylous ascites. However, they are often difficult to perform after extensive lymph node dissection because disruption of the antegrade lymphatic flow makes leaks identification difficult. When the leakage point cannot be identified or percutaneous transabdominal lymphangiography and embolization fail, a retrograde transvenous approach to the thoracic duct can be used instead. We report 3 cases of refractory chylous ascites after retroperitoneal operation or extensive lymph node dissection that was addressed by retrograde transvenous lymphatic embolization. In one case, a combination of retrograde transvenous lymphatic embolization, transcatheter sclerotherapy, and transcatheter embolization was used. These findings suggest that retrograde transvenous lymphatic embolization appears to be feasible and efficient for postoperative chylous ascites.
机译：据报道，经皮腹腔淋巴图和栓塞术称为顽固的乳嗜酸雌轴或甲骨质的有用方法。然而，在广泛的淋巴结解剖后，它们通常难以进行，因为切断淋巴流的破坏使泄漏识别困难。当不能识别泄漏点或经皮转腹淋巴图和栓塞失败时，可以使用对胸道管道的逆行致盲或胸腔。在逆床型淋巴细胞栓塞后，我们报告了3例令人难以理解的乳腺腹水患者或广泛的淋巴结解剖。在一种情况下，使用逆行吞咽淋巴栓塞，经转膜管硬化疗法和转膜切片表栓塞的组合。这些研究结果表明，术后乳糜腹水似乎是可行和有效的逆行吞咽型淋巴栓塞。

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