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目的探讨食管癌术后乳糜胸的诊断与治疗方法。方法 2002年11月-2012年12月,共食管癌手术1560例,发生乳糜胸25例,其中17例行手术治疗,8例行保守治疗。结果 25例中17例手术治疗,8例保守治疗均全部痊愈。结论食管癌术后发生乳糜胸后,乳糜试验确诊引流液大于1000ml积极手术治疗,500-1000ml患者保守治疗,观察其引流液5-7d无减少者应积极手术治疗。少于500ml保守治疗可治愈。
Objective To investigate the diagnosis and treatment of chylothorax after esophageal cancer surgery. Methods From November 2002 to December 2012, 1560 cases of esophagectomy were performed, 25 cases of chylothorax occurred, of which 17 cases were treated surgically and 8 cases were treated conservatively. Results of 25 cases of 17 cases of surgical treatment, 8 cases of conservative treatment were all cured. Conclusions After chylothorax after esophageal cancer surgery, cholesta test is more than 1000ml positive surgical drainage of drainage, conservative treatment of 500-1000ml patients, observation of its drainage 5-7d no reduction should be active surgical treatment. Less than 500ml conservative treatment can be cured.