【摘要】 目的　总结食管癌切除术后发生乳糜胸的原因及其治疗经验。方法　本组２６ 例乳糜胸患者，采用保守治疗１２ 例；经左胸或右胸行膈上胸导管手术结扎１４ 例，其中１ 例因胸导管变异，先后２ 次行胸导管手术结扎。结果　保守治疗患者中，９ 例治愈，３ 例死亡。手术结扎胸导管患者中，１３ 例治愈，死亡１ 例。结论食管癌术后乳糜胸多发生于中晚期食管中段癌切除术后，因肿瘤组织与周围组织粘连或浸润，分离肿瘤时，即有伤及胸导管及分支的可能。乳糜胸患者是否需行手术结扎胸导管，主要根据每日乳糜液排出量的多少，若每日引流量超过８００ ～１０００ ｍｌ，经保守治疗３～５ 天，乳糜量有增无减，应果断及早手术结扎胸导管。更多还原

【Abstract】 Objective To summarize the experience of the cause and therapy of chylothorax after the removal of esophageal carcinoma.Method Of 26 patients with chylothorax,12 cases had conservative therapy,14 cases had surgical ligation of thoracic duct at the lever of the diaphragm through a left or right thoracostomy incision and the second surgical ligation was performed in one case because of the variability of thoracic duct.Result Of all the patients with conservative therapy,9 were curable and 3 died,and correspondingly there were 13 curable cases and one dead case,who were operated on.Conclusion The chylothorax mostly occurred postoperatively in patients with advanced esophageal carcinoma which invaded or cohered to the surrounding tissues.when disconnecting the tumor,the thoracic duct could be hurt probably.Whether the operation was required or not depended on the drain votume of chylo.If the drain volume exceeded 800 to 1000 ml per day and hadn′t the tendency of decrease after conservative therapy for 3 to 5 days,the surgical ligation should be performed resolutely. [更多还原