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目的探讨结扎胸导管能否预防食管癌术后乳糜胸的发生。方法 2000年1月至2013年12月行食管癌根治术2 213例,对比术中结扎胸导管组(A组,1 495例)与不结扎胸导管组(B组,718例)食管癌术后乳糜胸的发生率。结果食管癌术后乳糜胸发生率:A组0.2%(3例),无死亡;B组3.2%(23例),7例因合并重症肺部感染死亡。两组对比差异有统计学意义(P<0.01)。结论结扎胸导管能降低食管癌术后乳糜胸的发生率。
Objective To investigate whether ligation of the thoracic duct can prevent the occurrence of chylothorax after esophageal cancer surgery. Methods From January 2000 to December 2013, 2 213 patients underwent radical resection of esophageal cancer. Compared with the operation of transcatheter closure of thoracic duct (group A, group 1 495) and non-ligated group of thoracic duct (group B, 718) Post-chylothorax incidence. Results The incidence of postoperative chylothorax in esophageal cancer was 0.2% (3 cases) in group A, no death was found, while in group B 3.2% (23 cases) and 7 cases died of severe pulmonary infection. The difference between the two groups was statistically significant (P <0.01). Conclusion Ligation of thoracic duct can reduce the incidence of postoperative chylothorax in patients with esophageal cancer.