摘要
目的 探讨食管癌术后并发乳糜胸的诊断和治疗 ,重点讨论治疗方法。方法 回顾本院 1989～2 0 0 3年间的 112 0例食管癌手术病例 ,对其中发生乳糜胸并发症的 16例病例进行分析。结果 16例患者中 ,采用保守治疗 11例 ,采用手术治疗 5例 ,其中 1例经过 2次手术结扎胸导管而痊愈。本组无死亡病例。结论 食管癌术后并发乳糜胸的患者 ,大多数可以通过保守治疗而痊愈 ,只有少部分需要手术治疗。关键在于手术适应证的掌握及手术时机、术式的选择。
Objective To discuss the diagnosis and treatment of chylothorax complication after easophageal carcinoma operation. Methods The medical data of 16 cases of chylothorax patient in 1 120 cases esophageal carcinoma were analyzed retrospectively from 1989 to 2003. Results The 11 cases of 16 were treated with conservatively and the other were treated with operation ( 1 cases had received twice ligation of thoracic duct) without dead in this group. Conclusion Most cases of such chylothorax complication could be treated well with conservatively after esophageal carcinoma operation. Only small cases operation were needed with good selection of indication, time and methods.
出处
《黑龙江医学》
2004年第10期736-737,共2页
Heilongjiang Medical Journal
关键词
肿瘤学
食管癌术后
乳糜胸
保守治疗
胸导管结扎术
Postoperation of esophageal carcinoma
Chylothorax
Conservative treatment
Ligation of thoracic duct
