奥曲肽治疗甲状腺癌颈淋巴结清扫术后难治性淋巴漏14例临床分析

摘要

目的 观察奥曲肽对甲状腺癌颈清扫术后难治性颈淋巴漏的疗效.方法 入组14例郑州大学第一附属医院难治性颈淋巴漏的病例,对其应用奥曲肽的效果进行回顾性病例分析.结果 14例难治性颈淋巴漏中,12例(12/14,86%)在应用奥曲肽后最终成功愈合并拔管.全部病例中,7例(7/14,50%)应用奥曲肽后次日引流量较之前减少50%以上,4例(4/14,29%)应用奥曲肽后次日引流量无明显减少.结论 奥曲肽是处理难治性颈淋巴漏的手段之一,对部分患者可取得良好的疗效.%Objective To observe the curative effects of treatment with Octreotide for chylous leakage after neck dissection .Methods We enrolled 14 patients with intractable chylous fistula treated at the First Affiliated Hospital of Zhengzhou University for the study .The curative effects of Octreotide treatment were retrospectively reviewed .Results Out of 14 patients with intractable chylous fistula ,12 (12/14 ,86% ) were finally cured and had the drainage tube removed .The drainage volume of 7 patients (7/14 ,50% ) decreased significantly by over 50%the next day of Octreotide medication ,but decreased insignificantly in 4 patients (4/14 ,29% ) .Conclusion Octreotid is an alternative method in treatment for intactable chylous fistula because of a satisfactory curative effect in some of the patients .