论文部分内容阅读
目的总结食管癌术后乳糜胸的预防和治疗。方法对2001年1月至2010年7月191例食管癌手术治疗的临床资料进行回顾性分析,分析术后乳糜胸的防治措施。结果 191例患者中,前期51例未行常规低位胸导管结扎,后期140例行常规低位胸导管结扎。术后发生乳糜胸5例,男4例,女1例。其中前期发生3例(5.9%),后期发生2例(1.4%)。5例乳糜胸保守治愈4例,手术治愈1例。结论采用低位大块组织结扎胸导管,可明显降低食管癌术后乳糜胸的发生率,减少乳糜液的漏出量,缩短疗程;应用高渗葡萄糖和凝血酶胸膜腔注射治疗食管癌术后乳糜胸,效果良好,不良反应少。
Objective To summarize the prevention and treatment of postoperative chylothorax in esophageal cancer. Methods The clinical data of 191 cases of esophageal cancer surgery from January 2001 to July 2010 were retrospectively analyzed, and the prevention and treatment measures of postoperative chylothorax were analyzed. Results Of the 191 patients, 51 cases were not performed conventional low thoracic duct ligation in the early stage and 140 cases were performed conventional low thoracic duct ligation in the latter period. Postoperative chylothorax occurred in 5 cases, 4 males and 1 female. There were 3 cases (5.9%) in the early stage and 2 cases (1.4%) in the late stage. 5 cases of cholelithium conservative cure in 4 cases, 1 case cured. Conclusions The use of low lumps in ligating the thoracic duct can significantly reduce the incidence of postoperative chylothorax and reduce the leakage of chylothorax and shorten the course of the treatment. The treatment of postoperative chylothorax with esophageal carcinoma with hypertonic glucose and thrombin injection , Good effect, less adverse reactions.