腎臟移植後淋巴囊腫－病例報告

Lymphocele after Renal Transplantation-Cases Report

蕭賜彥(Tsu-Yen Hsiau) ； 黃一勝(Thomas I.S. Hwang) ； 楊啟瑞(Chi-Rei Yang) ； 張吉隆(Chi-Lung Chang) ； 張兆祥(Chao-Hsiang Chang) ； 吳錫金(Hsi-Chin Wu)

《中華民國泌尿科醫學會雜誌》 1卷2期 (1990/06) Pp. 140-145

https://doi.org/10.7024/JUAROC.199006.0140

摘要

腎臟移植後淋巴囊腫之形成並非很常見，卻是一種必須留意的併發症。臨床的症狀差異很大，稍不留意就容易誤診。超音波是一種最簡易，高敏感度的診斷工具。徹底結紮腸骨血管周圍及腎門、腎臟周圍之淋巴血管，可以預防換腎後淋巴囊腫之形成。大多數的淋巴囊腫在初期可以用保守治療及觀察即可。灌注10%水溶性優碘，是治療淋巴囊腫既簡單、安全又便宜的方法。對於病情較嚴重的病人，亦可用腹膜袋狀縫合術(Intraperitoneal marsupialization)來治療。台中榮民總醫院近五年來，施行腎臟移植83次中，發現9例淋巴囊腫。茲將3例有症狀且較大的淋巴囊腫之治療經驗提出報告以供參考。(J Urol R.O.C., 1: 140-145, 1990)

關鍵字

淋巴囊腫 ； 腎移植 ； 超音波檢查 ； 10% 水溶性優碘 ； 腹膜腔袋狀縫合術

並列摘要

The development of lymphocele is uncommon btu well-known complication after renal transplantation. The clinical presentation is variable and the diagnosis may be missed if it is unsuspected or if appropriate investigations are not undertaken. Ultrasound is the simplest and most sensitive method of early detection. The lymphocele after renal transplantation can be prevented by ligatioin of all lymphatic channels around the iliac vessels and lymphatics of the donork kidney. Most layphatic cavity is a simple, safe and inexpensive method for treatment of lymphoceles were encountered in 83 renal transplant procedures in Taichung Veteran General Hospital in recent 5 years. We will review the literatures and report successful experiences for three big symptomatic lymphoceles after renal transplantalion.