肺癌术后乳糜胸17 例治疗体会.pdfVIP

中国肺癌杂志2 0 0 9 年 8 月第 1 2卷第 8 期 C h i n J L u n g C a n c e r, A u g u s t 2 0 0 9 , Vo l . 1 2 , No. 8 ·905· ·临 床 经 验 · 肺癌术后乳糜胸17例诊疗体会 万黎 王建军 赵峰 范凯 7 【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 年 我科1 472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 17 16 1 人的临床资料。结果 例病人行保守治疗， 例治愈， 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。 【关键词 】肺肿瘤；乳糜胸；治疗 R734.2 DOI: 10.3779/j.issn.1009-3419.2009.08.15 【中图分类号 】 Diagnosis and Management of Chylothorax after resection of Lung Cancer Li WAN, Jianjun WANG, Feng ZHAO, Kai FAN Department of Thoracis Surgery, Union Hospital, Tongji medical college, Huazhong university of Science and Thchnology, Wuhan 430022, China Corresponding author: Jianjun WANG, E-mail: bgjjw@ Abstract 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,