肺癌与食管癌术后乳糜胸的临床特点分析

Clinical features of postoperative chylothorax for lung cancer and esophageal cancer

目的探讨肺癌和食管癌切除及淋巴结清扫术后乳糜胸病例的临床特点。方法回顾性分析1203例肺癌术后9例乳糜胸患者和2361例食管癌术后34例乳糜胸患者的临床资料。结果肺癌组术后乳糜胸的发生率(0.8%)低于食管癌组(1.4%),并且临床症状及体征明显较食管癌组轻,保守治疗成功率高。所有患者痊愈出院。结论肺癌术后乳糜胸的发生率、病因、临床表现、诊断及治疗与食管癌术后乳糜胸有明显不同。

Objective To define the clinical features of postoperative chylothorax for lung cancer （PCLC）, and to compare them with those for esophageal cancer （PCEC）. Methods We retrospectively analyzed clinical characteristics of 9 patients with chylothorax among 1203 patients receiving resection of lung cancer, as well as 34 in 2361 patients having resection of esophageal cancer since 2000 at our hospital. Results The incidence of PCLC was 0. 8% and that of PCEC was 1.4%. Symptoms and signs of PCLC were much milder than those of PCEC. All eases treated by conservation treatment or re-operation were cured. All patients were discharged uneventfully. Conclusions The incidence, causes, clinical manifestations, diagnosis and treatment of PCLC is different from those of PCEC.