摘要
目的 :通过对食管癌手术后并发乳糜胸病例的临床分析 ,探讨食管癌术后乳糜胸的治疗方法。方法 :回顾性分析金山医院和解放军第 14 9医院从 1987年 1月～ 2 0 0 3年 1月食管癌术后并发乳糜胸 32例患者的治疗效果。结果 :32例中保守治疗 13例 ,9例治愈 ,死亡 4例 (30 .8% ) ;手术治疗 19例 ,16例治愈 ,死亡 3例 (15 .8% )。结论 :食管癌术后并发乳糜胸可通过适当选择时机进行手术治疗。与保守治疗相比较 ,外科治疗降低了病人的死亡率。
Objective:To discuss the treatment for chylothorax after esophageal cancer resection through the clinical analysis of post-esophagectomy chylothorax.Methods:32 patients with post-esophagectomy chylothorax from January 1987 to January 2003 in Jinshan Hospital and PLA 149 Hospital were retrospectively analyzed.Results:Among32 cases, 13 were treated conservatively and 19 underwent operations. With the conservative treatment, 9 were cured, 4 died(30.8%). With surgical intervention, 16 were cured, 3 died(15.8%).Conclusion: Post-esophagectomy chylothorax might be managed through surgery if it is taken at right time. Compared with the conservative treatment, surgical intervention may result in a lower mortality when it was taken in highly selected patients. And most post-esophagectomy chylothorax may be prevented.
出处
《中国临床医学》
2003年第5期739-740,742,共3页
Chinese Journal of Clinical Medicine
关键词
食管癌
术后
乳糜胸
处理
保守治疗
Esophageal cancer Chylothorax Conservative treatment Surgery
