食管癌术后乳糜胸的诊断与治疗

Diagnosis and surgical treatment of chylothorax after esophageal cancer operation

目的通过对食管癌手术后并发乳糜胸病例的临床分析,探讨食管癌术后乳糜胸的治疗方法。方法观察笔者所在医院从1998年8月至2008年2月食管癌术后并发乳糜胸16例患者的治疗效果。结果 16例中保守治疗6例,5例治愈,死亡1例;手术治疗10例,9例治愈,死亡1例。结论食管癌术后并发乳糜胸可通过适当选择时机进行手术治疗。与保守治疗相比较,外科治疗降低了患者的病死率。同时多数食管癌术后乳糜胸是可以预防的。

Objective To discuss the treatment for chylothorax after esophageal cancer operation through the clinical analysis of post - esophagectomy chylothorax. Methods 16 patients with pust - esophagectomy chylothorax from August 1998 to February 2008 in Nanshi hospital and TCM hospital of Nanyang were retrospectively analyzed. Results Among 16 eases, 6 cases were retreated conservatively and 10 cases underwent operations. With the conservative treatment, 5 cases were recurred,1 case died. And with the surgical intervention,9 cases were recurred, 1 case died. Conclusion Post - esophagectomy chylothorax might he managed through surgery fit was taken at fight time. Compared with the conservative treatment, surgical intervention may result in low mortality when it was taken in highly selected patients. And most post - esophagectomy chylothorax may be prevented.