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目的 分析食管癌切除术后发生乳糜胸的有关因素,研究乳糜胸的诊断、治疗原则及预防措施。方法 回顾我院1988年2月～1999年11月856例食管癌切除及11例术后乳糜胸病例,重点分析手术方式与乳糜胸的关系,术后乳糜胸再次手术的时机及胸导管结扎的方法。结果 11例术后乳糜胸病人,1例经保守治疗而治愈,10例经再次手术而治愈。结论 术后乳糜胸,每日胸液引流量大于800ml,观察7天后未减少应及时再次手术;食管癌切除,术中作预防性胸导管结扎,可减少乳糜胸的发生率
Objective To analyze the related factors of chylothorax after esophageal resection and to study the diagnosis, treatment principles and preventive measures of chylothorax. Methods From February 1988 to November 1999, 856 cases of esophageal cancer resection and 11 cases of postoperative chylothorax were retrospectively analyzed. The relationship between the operation mode and chylothorax was analyzed emphatically. The timing of reoperation of chylothorax after operation and thoracic duct ligation method. Results 11 cases of postoperative chylothorax patients, 1 case was cured by conservative treatment, 10 cases were cured by reoperation. Conclusions Postoperative chylothorax, daily discharge of pleural fluid greater than 800ml, 7 days after the observation did not reduce the need for reoperation; esophageal cancer resection, intraoperative preventive thoracic duct ligation can reduce the incidence of chylothorax