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目的:总结食管癌术后发生乳糜胸的原因和处理措施。方法:本文报告6例食管癌术后并发乳糜胸,经胸腔持续引流及支持疗法治愈4例,再次手术行胸导管断端结扎及低位胸导管结扎治愈2例。结果:6例乳糜胸患者术后经胸腔持续引流及支持治疗治愈4例,再次开胸行胸导管结扎治愈1例,经电视胸腔镜行胸导管结扎治愈1例。结论:术中应轻柔操作,仔细分离组织以免损伤,如怀疑胸导管损伤,术中应结扎胸导管,术后一经确诊,应根据病人具体情况决定治疗方案。
Objective: To summarize the causes of chylothorax after esophageal cancer surgery and its treatment measures. METHODS: Six cases of esophageal cancer complicated with chylothorax after operation, 4 cases were cured by continuous thoracic drainage and supportive therapy, and 2 cases were treated by ligation of thoracic duct ligation and ligation of lower thoracic duct. RESULTS: Six cases of chylothorax patients were treated with continuous thoracic drainage and supportive therapy. Four cases were cured. One case was cured by thoracic duct ligation again, and one case was cured by video-assisted thoracoscopic thoracic duct ligation. Conclusion: The operation should be performed gently, and the tissue should be carefully separated to avoid injury. If thoracic duct injury is suspected, the thoracic catheter should be ligated during the operation. Once the diagnosis has been made, the treatment plan should be determined according to the patient’s specific conditions.