本文介绍采用多途径冲洗疗法治疗１２例食管术后脓胸，男９例，女３例，平均年龄５７．７岁（４１～６９岁），除１例系食管囊肿外均为食管、贲门癌患者。左、右侧脓胸各６例，１０例由吻合口瘘所致，２例由术后胸内积液继发感染所致。本组采用生理盐水、甲硝唑、庆大霉素持续或间断经口服食管内冲洗，电视透视下或内窥镜引导鼻胃管经食管吻合口瘘口置入脓腔冲洗，Ｂ超或ＣＴ引导穿刺置细管冲洗，脓腔上下置管或单根“Ｙ”型胸管或单根粗胸管内置细管冲洗等方式进行脓胸治疗，全组无一死亡，吻合口瘘平均愈合时间为１９．７天（７～３０天）。结果表明，食管术后脓胸，尤其是由吻合口瘘所致之脓胸，在充分引流、全身支持疗法的基础上，采用冲洗疗法可起到控制感染，加速脓胸愈合的作用 This article describes the use of multi-channel irrigation therapy in 12 cases of esophageal empyema, 9 males and 3 females, mean age 57.7 years (41-69 years of age), except for 1 cases of esophageal cysts are esophageal and cardiac cancer patient. Left and right empyema in 6 cases, 10 cases caused by anastomotic fistula, 2 cases caused by secondary infection of intrathoracic fluid. The group using saline, metronidazole, gentamicin continuous or intermittent oral esophageal flushing, under fluoroscopic or endoscopic nasogastric tube esophageal anastomosis fistula into the abscess flushing, B-ultrasound or CT Guided puncture thin tube flushing, abscess tube up and down or a single “Y” type of chest tube or a single thick tube built-in thin tube flushing and other ways for empyema treatment, all without death, anastomotic fistula average healing time 19.7 days (7 to 30 days). The results show that after esophageal empyema, especially by the anastomotic fistula induced empyema, drainage and full body supportive therapy, based on the use of irrigation therapy can play a role in infection control and accelerate the healing of empyema