目的总结食管癌术后乳糜胸并发症的治疗方法、手术时机及预防。方法回顾性分析2004年10月2009年10月14例食管癌术后并发乳糜胸患者的治疗效果。其中男2例,女12例;年龄57～72岁,平均65岁。经保守治疗或再次手术结扎胸导管。结果 9例患者经保守治疗治愈;5例保守治疗无效后,再次经原切口行开胸手术结扎胸导管,手术顺利,术后未再出现乳糜胸,均顺利康复出院。结论食管癌术后并发乳糜胸需及时诊断,制定周密的治疗方案,掌握好手术指征及手术时机,利于患者早日康复,避免长期不愈导致机体衰竭甚至死亡的严重后果。 Objective To summarize the treatment of chylothorax after esophageal cancer surgery, timing and prevention of surgery. Methods A retrospective analysis of October 2004 in October 2009 14 cases of esophageal cancer patients with chylothorax after treatment. Including 2 males and 12 females; aged 57 to 72 years, mean 65 years. Conservative treatment or re-closure of the thoracic duct. Results Nine patients were cured by conservative treatment. After conservative treatment was invalid, the thoracic duct was thoracotomy again through the original incision. The operation was successful. No chylothorax was found after operation, and the patients were discharged smoothly. Conclusions Postoperative chylothorax in esophageal cancer should be timely diagnosed, well-developed treatment options, good surgical indications and timing of surgery, which will help patients recover as soon as possible, to avoid the serious consequences of long-term unhealthy lead to body failure or even death.