食管癌术中结扎胸导管预防乳糜胸的临床体会
陈光成;管宏俊;杨志刚;沈忠兵;祁向东;孙长鹏;陈云琦;
摘要(Abstract):
目的:探讨预防性胸导管结扎对防止术后乳糜胸的效果。方法:回顾分析2000-01~2010-01期间手术切除食管癌1800例,随机分为A组:不结扎胸导管580例,B组:在膈肌上方5㎝处游离性结扎胸导管620例,C组:在膈肌上方5㎝处大块结扎胸导600例。结果:食管癌切除术后发生乳糜胸:A组1.55%﹙9/580),B组0.16﹪﹙1/620),C组0.17%﹙1/600)。据统计学处理:B组与C组无差异(P﹥0.05),A组与B组、C组均有显著差异(P﹤0.05)。结论:术中釆用膈上低位结扎胸导管可减少或避免术后乳糜胸的发生。
关键词(KeyWords): 食管癌;胸导管;结扎术;乳糜胸
基金项目(Foundation):
作者(Authors): 陈光成;管宏俊;杨志刚;沈忠兵;祁向东;孙长鹏;陈云琦;
DOI: 10.13799/j.cnki.mdjyxyxb.2013.01.058
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