肺癌术后乳糜胸诊治分析  

Analysis of Diagnosis and Treatment of Chylopleura after the Lung Cancer Operation

作　　者：段晋[1] 施云飞[1] 雷又鸣[1] 赵炜[1] 张倩[1] 

机构地区：[1]昆明医科大学第一附属医院胸外科,云南昆明650032

出　　处：《中外医疗》2017年第2期57-59,共3页China & Foreign Medical Treatment

摘　　要：目的分析肺癌术后乳糜胸临床特征,总结诊治经验。方法整群选取该院于2011年2月—2015年12月收治的肺癌手术患者237例,其中发生术后乳糜胸24例,未发生213例,怀疑为乳糜胸者,采集积液进行乙醚震荡实验、成分检查、乳糜检测,采用保守治疗,据引流量3例采用胸导管结扎术治疗,12例胸腔闭式引流。结果发生率1.0%(24/237),发生乳糜胸者开胸术手术率(25.0%)低于未发生者(53.5%),差异有统计学意义(P<0.05);术后住院时间(8.4±2.2)d,积液消失,随访30 d,未见复发。结论肺癌术后乳糜胸诊断并不困难,保守、手术都可治疗乳糜胸,疗效肯定。Objective To analyze the clinical features of chylopleura after the lung cancer operation and summarize the diagnosis and treatment experiment. Methods 237 cases of operative patients with lung cancer admitted and treated in our hospital from February 2011 to December 2015 were group selected, including 24 cases with chylopleura after the lung cancer operation and 213 cases suspected with chylopleura after the lung cancer operation, and the aether shock experiment,component examination and chyle test were conducted by collecting the effusion, and the conservative treatment was adopted, according to the volume of drainage, 3 cases were treated with ligation of thoracic duct and 12 cases adopted the thoracic close drainage. Results The incidence of 1.0%（24/237）, the operative rate of thoracotomy of patients with chylopleura was lower than that of patients without chylopleura,（25.0% vs 53.5%）, and the difference had statistical significance（P 0.05）, the postoperative length of stay was（8.4±2.2）d, and the effusion disappeared, and 30 d follow-up showed that there was no recurrence. Conclusion The diagnosis of chylopleura after the lung cancer operation is not difficult, for the symptoms after tube drawing, and the chylopleura can be treated with conservative method and operation, and the curative effect is positive.

关 键 词：肺癌 乳糜胸 诊断 治疗 

分 类 号：R734[医药卫生—肿瘤]