论文部分内容阅读
食管癌切除术后乳糜胸是一种严重的并发症,乳糜液的大量丢失,迅速引起患者脱水,营养障碍,水及电解质失调,免疫力下降和全身衰竭。对于乳糜胸的治疗,目前多数学者主张积极的手术治疗,疗效显著,已无大的争议。但毕竟需两次手术,加重了创伤,并造成患者精神负担和经济损失。我院1989-01/1999-12施行中上段食管癌手术328例,其中156例术中常规行胸导管结扎作为实验组,另172例术中未作胸导管结扎,作为对照组。比较两组术后乳糜胸的发生情况,探讨预防性结扎胸导管对防止或减少食管癌术后乳糜胸的作用,现报告如下。 1 材料和方法 1.1 材料对照组172例,男144例,女28例,年龄26岁～86岁,平均65岁,中段食管癌153例,上段食管癌19例,术后发生
The chylothorax is a serious complication after esophageal cancer resection. The large amount of chylous fluid is lost. It quickly causes dehydration, nutritional disorders, water and electrolyte imbalances, decreased immunity and systemic failure. For the treatment of chylothorax, most scholars currently advocate active surgical treatment and have significant curative effects. There is no major controversy. But after all, it requires two surgeries, which aggravates the trauma and causes the patient’s mental burden and economic loss. In our hospital from 1989-01 to 1999-12, 328 cases of esophageal carcinoma were performed. Among them, 156 cases were routinely treated with thoracic duct ligation as the experimental group, and the other 172 cases were not subjected to thoracic duct ligation as a control group. The incidence of chylothorax after surgery was compared between the two groups, and the role of prophylactic ligation of thoracic ducts in preventing or reducing chylothorax after esophageal cancer surgery was discussed. The report is as follows. 1 Materials and Methods 1.1 Materials Control group 172 cases, male 144 cases, female 28 cases, aged 26 to 86 years, mean 65 years old, 153 cases of middle esophageal cancer, 19 cases of upper esophageal cancer, postoperative