食管癌术后乳糜胸16例临床分析

Clinic study of chylothorax after esophagectomy: Report of 16 cases

目的 :减少食管癌术后乳糜胸的发生和提高乳糜胸的诊疗水平。方法 :我院自 1975年 6月至 2 0 0 0年 7月 ,共遇到食管癌术后乳糜胸患者 16例 ,其中 10例再手术结扎胸导管 ,6例保守治疗。结果 :手术组全部治愈 ,保守治疗组 2例死亡 ,余 4例乳糜胸愈合时间明显长于手术组且并发症多。结论 :食管癌术后并发乳糜胸发生率低 ,但术中要注意预防 ,术后一旦确诊乳糜胸应争取及早手术 。

Objective: To reduce the incidence of chylothorax after esophagectomy and elevate its therapic and diagnostic level Methods: Sixteen patients with chylothorax after esophagectomy during June, 1975 to July 2000 were analysed Of which 10 cases received ligation of the thoratic duct and 6 cases received nonsurgery treatment Result: The surgical group were all cured, among the nonsurgical group 2 patients were dead and the cured duration of the rest 4 patients were longer than that of surgical group and their complication were more Conclusion: the incidence of chylothorax after esophagectomy is very low We should prevent it happen during the operation Early ligation is needed when chylothorax is diagnosed It's better to take caution in choosing preservative therapy.