METHODS: This is a retrospective chart review of 3 patients who developed chylous fistulas after neck dissection and were successfully treated with NPWT.
RESULTS: Chylous ouput ceased within 2 to 8 days of proper wound VAC placement. Hospital stays ranged from 6 to 47 days. Patients received altered diets, including TPN for 1 patient with high-flow output and nil-per-os (NPO) or clear liquids for the others. Patients received octreotide throughout their hospitalization.
CONCLUSIONS: NPWT shows potential as a treatment option for both high-volume and low-volume chylous fistulas following neck dissection.
方法:这是3例患者的回顾性图表回顾,这些患者在颈淋巴结清扫术后出现乳糜瘘,并成功接受NPWT治疗。
结果:在正确放置伤口VAC后2至8天内,乳糜排出停止。住院时间为6至47天。患者接受了改变的饮食,包括1例患者的TPN,高流量输出和nil-per-os(NPO)或其他患者的透明液体。患者在整个住院期间接受奥曲肽治疗。
结论:NPWT显示出作为颈部清扫术后高容量和低容量乳糜瘘的治疗选择的潜力。