肺癌与食管癌术后乳糜胸的比较  

Clinical features of postoperative chylothorax for lung cancer and esophageal cancer

作　　者：赵峻[1] 张德超[1] 汪良骏[1] 张汝刚[1] 

机构地区：[1]中国医学科学院肿瘤医院胸外科,北京100021

出　　处：《中华外科杂志》2003年第1期47-49,共3页Chinese Journal of Surgery

摘　　要：目的　探讨肺癌术后乳糜胸 (肺癌组 )与食管癌术后乳糜胸 (食管癌组 )的临床特点。方法　回顾分析 40 84例肺癌术后 12例 ,以及 44 79例食管癌术后 5 2例乳糜胸的临床特点。　结果肺癌组术后乳糜胸的发生率为 0 2 9% ,食管癌组为 1 16 %。肺癌组术后 4d内确诊 4例 ,食管癌组为40例 ( 77% )。肺癌组出现典型乳糜样胸水者占 83 3% ,而食管癌组为 5 8%。肺癌组患者的临床症状及体征明显较食管癌组轻。肺癌组再手术率为 16 7% ,食管癌组为 96 2 %。本组所有病例均痊愈出院。结论　肺癌术后乳糜胸的发生率、病因、临床表现、诊断、及治疗与食管癌术后乳糜胸有明显不同。Objective To define the clinical features of postoperative chylothorax for lung cancer(PCLC), and to compare them with those for esophageal cancer(PCEC). Method We retrospectively analysed clinical characteristics of 12 patients with chylothorax among 4 084 patients receiving resection of lung cancer, as well as 52 in 4 479 patients having resection of esophageal cancer since 1985 at our hospital. Results The incidence of PCLC was 0.29% and that of PCEC was 1.16%. The percentage of diagnosis confirmed within 4 postoperative days was 33.3% for PCLC, and 76.9% for PCEC. The rate of typical chylous pleural effusion was 83.3% for PCLC, and 5.8% for PCEC. Symptoms and signs of PCLC were much milder than those of PCEC. The re-operation rate was 16.7% for PCLC, and 96.2% for PCEC. All patients were discharged uneventfully. Conclusion The incidence, causes, clinical manifestations, diagnosis, and treatment of PCLC is different from those of PCEC.

关 键 词：乳糜胸 肺癌 食管癌 切除术 并发症 

分 类 号：R655[医药卫生—外科学]