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１９９０年１０月～１９９６年１０月，我院采用带蒂大网膜填充食管床防治术后纵隔渗血１６８例，并与同期手术治疗的１２０例食管癌进行了对照观察。结果观察组第一天胸腔引流液为２００～２５０ＭＬ、第二天５０～１００ＭＬ，总引流量约２５０－３５０ＭＬ，术后４８小时拔除胸腔引流管。对照组第一天胸腔引流液３００～３５０ＭＬ，第二天１００～２００ＭＬ，第三天５０～１００ＮＬ，术后７２小时拔除胸腔引流管。两组比较，观察组第一天减少胸腔引流液５０～１５０ＭＬ，第二天减少５０～１００ＭＬ，总引流量减少１５０～２５０ＭＬ，引流时间减少２４小时。经统计学处理Ｐ＜０．０１，有明显的显著性差异。结论大网膜填充食管床能有效地防治食管癌术后纵隔渗血，加速胸腔渗出液吸收。减少胸腔引流液，促进局部粘连，加快吻合愈合。
From October 1990 to October 1996, 168 patients with postoperative mediastinal bleeding were treated with a pedicled omentum-filled esophagus bed, and compared with 120 cases of esophageal cancer treated with surgery during the same period. Results In the observation group, chest drainage was 200-250ML on the first day and 50-100ML on the second day. The total drainage volume was about 250-350ML. The chest drainage tube was removed at 48 hours after operation. In the control group, the first day chest drainage was 300-350 ml, the next day was 100-200 ML, and the third day was 50-100 NL. The chest drainage tube was removed 72 hours after surgery. Comparing the two groups, the observation group reduced chest drainage volume 50-150ML on the first day, decreased 50-100ML on the second day, reduced total drainage volume by 150-250ML, and reduced drainage time by 24 hours. After statistical treatment P<0.01, there was a significant difference. Conclusion The omentum-filled esophageal bed can effectively prevent mediastinum bleeding after esophageal cancer and accelerate the absorption of thoracic exudates. Reduce chest drainage, promote local adhesions and speed up anastomotic healing.