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目的探讨食管癌患者乳糜胸发生的原因及预防性结扎胸导管防止乳糜胸发生的意义。方法回顾性分析2001年12月至2011年12月在济源市人民医院胸外科行食管癌根治术的患者542例,其中明确记载行预防性胸导管结扎术患者319例,未记载行预防性胸导管结扎术患者223例,分别分为结扎组和末结扎组,对比两组术后乳糜胸的发生率,评价预防性结扎胸导管术的临床意义。结果结扎组和末结扎组术后乳糜胸的发生率分别为0/319和5/223。结论术中选择性预防结扎胸导管能够有效减少术后乳糜胸的发生。
Objective To investigate the causes of chylothorax in patients with esophageal cancer and the significance of preventive ligation of thoracic duct to prevent the occurrence of chylothorax. Methods A retrospective analysis of 542 patients undergoing esophageal cancer radical mastectomy in the Department of Thoracic Surgery, Jiyuan People’s Hospital from December 2001 to December 2011 was retrospectively analyzed. 319 patients with preventive thoracic duct ligation were clearly documented and no preventive chest 223 cases of catheter ligation were divided into ligation group and end-ligating group. The incidence of chylothorax was compared between the two groups to evaluate the clinical significance of preventive ligation of thoracic duct. Results The incidence of chylothorax in the ligation group and the terminal ligation group was 0/319 and 5/223, respectively. Conclusion Intraoperative selective prevention of thoracic duct ligation can effectively reduce the incidence of postoperative chylothorax.