乳糜腹水介入治疗：上游淋巴结穿刺
时间:2021-01-06 13:25来源:未知 作者:Mr.Editor
淋巴结胶注射/栓塞治疗乳糜腹水和淋巴囊肿 Lymph Node Glue Injection/Embolization for Chylous Ascites and Lymphoceles 腹腔腹水和淋巴囊肿发生于淋巴渗漏，这往往是医源性的 Chylous ascites and lymphoceles occur from lymphatic leakage, which is oft
淋巴结胶注射/栓塞治疗乳糜腹水和淋巴囊肿
Lymph Node Glue Injection/Embolization for Chylous Ascites and Lymphoceles
腹腔腹水和淋巴囊肿发生于淋巴渗漏，这往往是医源性的
Chylous ascites and lymphoceles occur from lymphatic leakage, which is often iatrogenic
淋巴结/淋巴肿块注胶的目的是阻止靶向淋巴管网络异常淋巴流，特别是选择性淋巴插管不可行的时候
The goal of lymph node/lymphatic mass glue injection is to stop abnormal lymphatic flow in targeted lymphatic networks where selective catheterization of lymph vessel is not feasible
操作细节 Procedure Details
在经淋巴结淋巴造影（IL）定位淋巴漏后，经皮进入淋巴结或经腹进入渗漏部位，然后注射碘油：N-BCA（1：1- 4：1)的混合栓塞剂
Following IL localization of lymphatic leakage, percutaneous access to lymph node or transabdominal access to site of leak is performed followed by injection of a mixture of ethiodol:n-BCA (1:1-4:1)
 |
 |
|
经淋巴结淋巴造影显示患者妇科手术后乳糜腹水，腹腔内漏被定位的IL表现。IL showing intra-abdominal leak (arrow) in patient with chylous ascites status post gynecologic surgery. |
经腹腔注射栓塞混合剂进入淋巴管（结）栓塞淋巴漏Transabdominal injection of embolization mixture into lymph duct (arrow) to embolize leak
|
 |
 |
|
经淋巴结淋巴造影显示心导管术后腹股沟淋巴囊肿患者持续淋巴漏 IL showing leak (arrow) in patient with persistent groin lymphocele after cardiac catheterization. |
经皮将混合栓塞剂注入淋巴结以栓塞泄漏 Percutaneous injection of embolization mixture into lymph node to embolize leak
|
|
------分隔线----------------------------
