摘要
目的观察乳糜尿患者肾脏集合系统表层的大体形态学改变,为其发病机制的解释提供一定的证据。方法对2003年7月至2007年7月收治的19例乳糜尿患者中16例进行了输尿管软镜检查。结果 16例乳糜尿患者行输尿管软镜检查,均观察到患者肾脏集合系统粘膜呈现一种糜烂、溃疡性病变,可以清晰地看到肾盂及各个肾盏处的淋巴瘘口。结论乳糜尿的发生是基于以下两个条件的:首先由于某种因素破坏了肾盂粘膜及粘膜下淋巴管,形成淋巴瘘;同时如果合并淋巴循环发生障碍,淋巴管迂曲扩张,淋巴液返流,过多的淋巴液由肾盂处的瘘口流出,造成严重的淋巴瘘。这两个条件协同作用,导致了乳糜尿的发生。
Objective Observe the gross morphologic changes of the renal collective system in the chyluria patients and explore the real mechanism lie in the Chyluria.Methods From July 2003 to July 2007,19 patients with Chyluria were admitted in our department and we performed the flexible ureteroscopy in 16 patients.Results In the 16 patients with the Chyluria,the lymphatic - renal fistula were observed directly for the first time and mucosa between the adjacent and fistulae display erosion,ulcer,and hemorrhage.Conclusions We proposed such a hypothesis that mechanism lying in the Chyluria maybe the injury of the pelvic mucosa dominantly followed by the disturbance of the lymph circulation.
出处
《泌尿外科杂志（电子版）》
2009年第1期19-23,共5页
Journal of Urology for Clinicians(Electronic Version)
关键词
乳糜尿
淋巴瘘
chyluria
lymphatic fistula
