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目的:探讨食管癌术后乳糜胸有效的诊治和预防的方法。方法:回顾性分析了2000年1月～2008年12月收治的899例食管癌中术后8例并发乳糜胸患者的临床资料。结果:8例患者中,保守治疗2例,1例痊愈,1例死亡;手术治疗6例,均治愈。结论:食管上中段癌根治术中常规行胸导管预防性结扎,有防止或减少术后乳糜胸的作用。对于食道癌术后乳糜胸的患者,保守治疗仍未能改善的,果断实施手术治疗是较为积极有效的治疗措施。
Objective: To investigate the effective diagnosis, treatment and prevention of postoperative chylothorax in esophageal cancer. Methods: The clinical data of 8 patients with chylothorax in 899 cases of esophageal cancer who were treated from January 2000 to December 2008 were retrospectively analyzed. Results: Of the 8 patients, conservative treatment in 2 cases, 1 case recovered, 1 case died; surgery in 6 cases, were cured. CONCLUSIONS: Conventional esophagectomy for radical resection of the thoracic duct is routinely performed with precautionary ligation to prevent or reduce the effects of postoperative chylothorax. For patients with esophageal chylothorax surgery, conservative treatment still failed to improve, and decisive implementation of surgical treatment is more active and effective treatment.