食管癌术前口服脂肪乳剂预防术后乳糜胸研究

目的探讨一种简单、有效的预防食管癌切除术后乳糜胸的方法。方法选择2004年5月－2007年4月收住入院的220例食管癌患者，无进食梗阻者，随机分为试验组（A组）和对照组（B组）各110例。A组术前口服20％脂肪乳剂注射液进行标记胸导管，B组术前常规准备。术中观察各组胸导管充盈状态和损伤情况，术后统计各组乳糜胸及其他并发症，χ^2检验进行统计分析。结果A组均明显充盈（100％）；B组能见到胸导管34例（30．9％），但均呈不充盈状。术后乳糜胸A组0例，B组4例（3．6％），两组比较差异有统计学意义（P〈0．05）。结论脂肪乳剂术前标记胸导管方法简单、可靠，能基本避免食管癌术后乳糜胸的发生。

The Value of Marking Thoracic Duet with Fat Emulsion to Prevent Post-operative Chylothorax of the Esophageal Cancer

Objective To explore a simpler and more efficient method to prevent postoperative chylothorax of the esophageal cancer. Methods 220 patients with esophageal cancer（ from May 2004 to April 2007 ） were randomly divided into 2 groups （ n = 110）. In group A, 110 cases were marked with oral fat emulsion. Group B were routinely prepared. Results In group A, 110 eases（ 100% ） were filled obviously. In group B, thoracic duct can be found in an unfilled state in 34 cases （30.9%）. 4 case of postoperative chylothorax were found in group B, but none in group A. There was a statistically significant difference（ P 〈 0.05）. Conclusion It is a simpler and more efficient method to mark thoracic duct with fat emulsion before operation, , which can avoid post-operative ehylothorax in patients with esophageal cancer.