CAJ | 학술논문

目的：总结食管癌术后乳糜胸的诊治方法。方法对9例食管癌术后并发乳糜胸患者的临床资料进行回顾性分析。结果9例乳糜胸患者均先行保守治疗，其中2例无效而改行手术治疗；9例患者均治愈。出院后随访1～12个月，平均8个月，均无胸腔积液，乳糜胸未复发。结论结合临床表现、辅助检查及胸水引流量可对食管癌术后乳糜胸进行确诊，其治疗应依据胸水量来合理选择保守疗法或是手术处理。
목적：총결식관암술후유미흉적진치방법。방법대9례식관암술후병발유미흉환자적림상자료진행회고성분석。결과9례유미흉환자균선행보수치료，기중2례무효이개행수술치료；9례환자균치유。출원후수방1～12개월，평균8개월，균무흉강적액，유미흉미복발。결론결합림상표현、보조검사급흉수인류량가대식관암술후유미흉진행학진，기치료응의거흉수량래합리선택보수요법혹시수술처리。
Objective To summarize the diagnosis and treatment of postoperative chylothorax in esophageal cancer patients. Methods To review and analyze the clinical data of 9 cases of chylothorax after esophageal cancer operation.Results Conservative treatment was used in 9 cases. 2 was transferred to surgical treatment. All of them were cured. No death case. The patients were seen for follow-up visits 3 to 12 months after discharged,average 8 months. There was no recurrence of chylothorax. Conclusion According to the clinical manifestation, examination and pleural effusion can be diagnosed on postoperative chylothorax of esophageal cancer.Treatment should be based on the pleural effusion to choose conservative treatment or surgical treatment.