GUO Nannan , YAO Zhangyu , JU Guoyuan , GUI Bo , YAO Weiping , HAO Hanxia , CHEN Wei , ZHAO Yanbin , QIAN Yichun , LIU Fangzhou
  • Department of Head and Neck Surgery, Jiangsu Cancer Hospital, Nanjing 210009, P. R. China;
LIU Fangzhou, Email: liufangzhou@njmu.edu.cn
Jindan Fuyan Granule; refractory chylous leakage; thyroid cancer; neck dissection
10.7507/1007-9424.202404083
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Objective To summarize the efficacy and safety of Jindan Fuyan Granule in the treatment of refractory chylous leakage after neck lymph node dissection for thyroid cancer. Method The clinical data of thyroid cancer patients with refractory chylous leakage after neck lymph node dissection treated with Jindan Fuyan granules in the Department of Head and Neck Surgery of Jiangsu Cancer Hospital from January to December 2023, were retrospectively collected. Results After treatment with Jindan Fuyan Granules on the basis of conventional treatment, the drainage volume of 3 patients with thyroid cancer after radical neck lymph node dissection was significantly reduced, from 100 mL to 2 mL, 1 285 mL to 5 mL, and 960 mL to 5 mL, respectively. After 3 days of treatment, the tubes were removed successfully. After discharge from the hospital, 3 patients were followed up for 3, 3, 4 months, respectively, showing satisfactory wound healing without chylous leakage or other discomfort. Conclusions Combined with low-fat diet, drainage and other non-surgical treatment methods, Jindan Fuyan Granule has obvious effect on treating refractory chylous fistula after thyroid cancer neck lymph node dissection, which can be used as a non-surgical treatment option. However, the efficacy needs to be further verified.