摘要
目的探讨胸外科手术后并发乳糜胸的诊治方法。方法对986例肺癌患者术后并发乳糜胸17例（1．72％）和11669例食管癌患者术后并发乳糜胸45例（2．69％）资料作回顾性分析。结果肺癌组，开胸手术乳糜胸发生率1．34％，胸腔镜手术2．56％；食管癌组，开胸手术乳糜胸2．38％，胸腔镜手术4．24％。62例术后并发乳糜胸患者中，38例经保守治疗，37例治愈，1例死亡，手术24例均治愈，总治愈率为98．4％（61／62）。结论胸外科手术，特别是胸腔镜手术，应重视乳糜胸的发生；术后乳糜胸以手术治疗为主，对于乳糜胸引流量较少的患者，也可采用保守治疗。
Objective To analyze the diagnosis and treatment of chylothorax after thoracic surgery. Methods 1669 patients with esophagus cancer and 986 patients with lung cancer between Sep 2008 and Sep 2013 were retrospective analyzed. Postoperative chylothorax was found in 62 cases, chylothorax occurred in 17 patients （ 1.72% ） of lung cancer, thoracotomy group was 1.34%, VATS group was 2.56%; Chylothorax occurred in 45 patients （ 2.69% ） of esophagus cancer, thoracotomy group was 2.38%, VATS group was 4.24%. Results Among the 62 cases of post-operative chylothorax, conservative treatment was applied in 38 cases, 37 cases were cured and 1 case died.24 cases were cured in surgery.The total cure rate was 98.4%. Conclusion In thoracic surgery, especial VATS, chylothorax should be paid attention to, the postoperative outcome of chylothorax mainly depends on the secondary surgery. If the drained hydrothorax reduced, conservative treatment may be used firstly.
出处
《浙江临床医学》
2014年第6期841-843,共3页
Zhejiang Clinical Medical Journal
关键词
乳糜胸
保守治疗
手术治疗
胸导管结扎术
Chylothorax The secondary surgery Ligation of thoracic duct Conservative treatment
