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目的探讨中段食管癌术后健侧胸腔积液的发生原因与防治措施。方法对552例中段食管癌手术患者的资料、术式、术中肿瘤外侵情况、术后健侧胸腔积液的发生率、预后等进行回顾性分析。结果全组23例(4.17%)患者发生健侧胸腔积液,淋巴结清扫范围增大则显著增加其发生率(P=0.037),术毕清除对侧胸腔积气、积液则显著低于未清除(P=0.029)。结论淋巴结清扫范围过大及术中未彻底清除对侧的积气、积液均可增加该并发症的发生率。
Objective To investigate the causes and prevention and treatment of contralateral pleural effusion after middle esophageal carcinoma. Methods The data of 552 patients with esophageal carcinoma in the middle segment, surgical methods, intraoperative tumor invasion, incidence of postoperative pleural effusion and prognosis were analyzed retrospectively. Results A total of 23 patients (4.17%) in the whole group developed a concomitant pleural effusion. The increase in the range of lymph node dissection significantly increased the incidence (P=0.037). The clearance of the contralateral pleural effusion and effusion was significantly lower than that of the untreated group. Clear (P=0.029). Conclusion The range of lymph node dissection is too large and the contralateral pneumogastric fluid and effusion are not completely removed during the operation can increase the incidence of this complication.