肺癌术后乳糜胸17例诊疗体会  

Diagnosis and Management of Chylothorax after resection of Lung Cancer

作　　者：万黎[1] 王建军[1] 赵峰[1] 范凯[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院胸外科,武汉430022

出　　处：《中国肺癌杂志》2009年第8期905-906,共2页Chinese Journal of Lung Cancer

摘　　要：背景与目的随着肺癌手术的进展,肺癌术后乳糜胸的发生率有逐年增加的趋势。本文通过对近7年我科1472例肺癌手术进行分析,探讨肺癌术后并发乳糜胸的诊断和处理。方法回顾分析17例肺癌术后并发乳糜胸病人的临床资料。结果17例病人行保守治疗,16例治愈,1例未愈者沿原切口行手术治疗后治愈。结论乳糜胸的发生与肺癌TNM分期和手术部位有一定的关系,发生乳糜胸后采取及时正确的治疗也可以取得良好的效果。Background and objective With the development of lung cancer surgery, the rate of chylothorax after resection of lung cancer had an increasing trend year by year. The aim of this study is to explore the diagnosis and management of postoperative chylothorax for resection of lung cancer by analysis 1472 cases lung cancer patients who underwent radical resection of lung cancer at our department in the past 7 year. Methods Clinical date of 17 patients with lung cancer who had postoperative chylothorax were analyzed retrospectively. Results Seventeen cases were treated by conservative treatment, among them 16 case were cured, one case was failure by conservative treatment and was cured by tieing offthe ductusthoracious. Conclusion The occurrence of chylothorax has a correlation with the TNM stages and operation site of lunge cancer, in the management of postoperative chylothorax, adopting correct measures promptly can reach good therapeutic effect.

关 键 词：肺肿瘤 乳糜胸 治疗 

分 类 号：R734.2[医药卫生—肿瘤]