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食管癌术后乳糜胸的治疗

Diagnosis and treatment of chylothorax after esophageal carcinoma operation

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【作者】 张卫东; 吴艳春; 陈亮; 闵美林; 陈健; 张佩文;

【Author】 ZHANG Wei-dong~(1),WU Yan-Chuen~(1),CHEN Liang~(2),MIN Mei-lin~(1),CHEN Jian~(1),ZHANG Pei-wen~(3)(1.Department of Thoracic Surgery,Wuxi Hospital of Traditional Chinese Medicine of Nanjing University of Traditional Chinese Medicine,Wuxi 214001,China;2.People’s Hospital of Jiangsu Province,Nanjing 210029,China;3.People’s Hospital of Sheyang Country,Yancheng 224300,China)

【机构】 南京中医药大学附属无锡市中医院外科; 江苏省人民医院; 射阳县人民医院 江苏无锡214001; 江苏无锡214001; 南京210029; 江苏盐城224300;

【摘要】 目的:探讨食管癌术后乳糜胸的防治方法。方法:回顾性分析17例食管癌术后并发乳糜胸患者的临床资料。结果:1 651例食管癌术后发生乳糜胸17例,发生率1.03%(17/1651),非手术治疗6例,手术治疗11例,均痊愈出院。结论:食管癌术后乳糜胸应本着预防为主,综合治疗的原则,膈上水平胸导管结扎对治疗和预防食管癌术后乳糜胸疗效确切。

【Abstract】 Objective:To investigate the prevention and treatments for chylothorax following esophagectomy.Methods:Restropective analysis was given to the clinical data of 17 cases with chylothorax following esophagectomy.Results:Chylothorax occurred in 17 cases of 1651 patients with post-esophagectomy,the incidence was 1.03%(17/1651).Among them,6 cases received non-surgical management and the remaining 11 cases were subjected to surgical treatments,all patients were cured.(Conclusions:The) therapeutic principles of the chylothorax following esophagectomy are prevention and synthetic treatments.The efficacy of ligation of the thoracic duct above the diaphrenic level for treatment prevention of postoperative chylothorax is definitive and accurate.

  • 【文献出处】 军医进修学院学报 ,Academic Journal of PLA Postgraduate Medical School , 编辑部邮箱 ,2006年05期
  • 【分类号】R735.1
  • 【被引频次】2
  • 【下载频次】61
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