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目的分析食管癌术后合并乳糜胸的临床诊断与治疗方法。方法选取我院1995年-2012年5月间入我院进行治疗且实施食管癌根治术术后发生合并乳糜胸的患者50例,对其实施保守治疗和手术治疗,观察治疗效果。结果 50例患者均顺利治愈,其中15例患者实施保守治疗,其余35例患者实施手术治疗,无死亡病例。出院前6例患者胸腔内仍有少量积液,穿刺治疗后痊愈,术后三月回访无异常。结论食管癌术后合并乳糜胸的治疗把握好治疗时机,根据患者具体情况实施针对性治疗,提升患者生存率。
Objective To analyze the clinical diagnosis and treatment of chylothorax after esophageal cancer surgery. Methods Fifty patients with chylothorax who underwent radical resection of esophageal cancer undergoing radical resection of our hospital between 1995 and May 2012 were enrolled in this study. They were treated conservatively and surgically, and the therapeutic effects were observed. Results All the 50 patients were successfully cured. Among them, 15 patients were treated conservatively and the rest 35 patients underwent surgical treatment without death. Six patients discharged before the pleural effusion is still a small amount of puncture after treatment cured, three months after the visit was normal. Conclusion The treatment of esophageal cancer combined with chylothorax grasp the timing of treatment, according to the specific circumstances of patients with targeted treatment to improve patient survival.