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目的 :评价低位性结扎胸导管治疗食管癌术后乳糜胸的疗效及术中结扎胸导管对防止乳糜胸发生的效果。方法 :对 156例食管癌病人 ,术中常规行低位胸导管双重结扎 ,观察术后乳糜胸的发生情况 ,并与非结扎组 172例作对比 ,对术后 5例乳糜胸病人行手术治疗。结果 :结扎组术后无 1例发生乳糜胸 ,非结扎组术后 5例发生乳糜胸 ,发生率为 2 9%。乳糜胸病人二次开胸低位结扎胸导管 ,疗效显著。结论 :中上段食管癌切除时 ,术中常规行胸导管结扎可有效防止术后乳糜胸的发生。一旦发生乳糜胸 ,宜尽早开胸结扎胸导管。
Objective: To evaluate the curative effect of postoperative chylothorax in patients with esophageal cancer and the effect of ligating the thoracic duct to prevent the occurrence of chylothorax. Methods: 156 cases of esophageal cancer patients underwent routine low double thoracic duct ligation, postoperative chylothorax was observed and compared with 172 cases of non-ligation group, 5 cases of postoperative chylothorax patients were surgically treated. Results: No chylothorax was found in 1 case in the ligation group. Chylothorax was found in 5 cases in the non-ligation group, with a rate of 29%. Chylothorax thoracotomy patients with low ligation thoracic duct, a significant effect. Conclusion: In the middle and upper esophageal cancer resection, intraoperative routine thoracic duct ligation can effectively prevent the occurrence of postoperative chylothorax. In the event of chylothorax, thoracic duct should be ligated as soon as possible.