Percutaneous intranodal lymphography: diagnostic and therapeutic effect for patients with chylous leakage
10.3760/cma.j.cn112149-20200109-00031
- VernacularTitle:经皮淋巴结穿刺淋巴造影术对乳糜漏的诊治效果
- Author:
Tao GONG
1
;
Jingui LI
;
Jiawei CAO
;
Xiaowu ZHANG
;
He ZHAO
;
Mingchen SANG
;
Xiao LI
;
Zhengqiang YANG
Author Information
1. 国家癌症中心 国家肿瘤临床医学研究中心 中国医学科学院肿瘤医院介入治疗科，北京 100021
- From:
Chinese Journal of Radiology
2020;54(11):1056-1060
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the diagnostic and therapeutic effect of percutaneous intranodal lymphography in patient with chylous leakage.Methods:The clinical data of percutaneous intranodal lymphography in patients with chylous leakage from January 2019 to November 2019 in Cancer Hospital Chinese Academy of Medical Sciences were retrospectively analyzed. A total of 8 patients (5 males and 3 females, median age 64 years old) were enrolled. Four patients were iatrogenic chylothorax, 3 patients iatrogenic chyloperitoneum, and 1 patient chyloperitoneum with unknown cause. All 8 patients were received inguinal lymph nodes puncture under ultrasound guidance, and contrast agent iodinated oil was injected for lymphography. The procedure complications were recorded and the follow-up data were collected for efficacy assessment.Results:The percutaneous intranodal lymphography was successfully performed in all patients (8/8). The median amount of iodinated oil used was 17.5 ml; the median operation time was 88 min, without complications found during the procedure. The results of percutaneous intranodal lymphography was positive in 5/8 cases, of which chylothorax and chyloperitoneum was 4/4 and 1/4, respectively. Four cases with chylothorax showed contrast extravasation at different level of thoracic duct, and 1 case after pancreatic cancer resection showed contrast extravasation at L3-4 level. The chylous leakage was treated in 5 patients (5/8) during and resolved after percutaneous intranodal lymphography, with 3 chylothorax and 2 chyloperitoneum cases, respectively.Conclusion:Percutaneous intranodal lymphography is a safe and effective lymphography method for the diagnosis of chylous leakage, and also has application values in the treatment of chylous leakage.
