摘要
目的食管癌是人类常见的消化道恶性肿瘤之一,食管癌术后肠内营养治疗的途径主要包括经鼻十二指肠营养管和空肠造瘘管两种。本研究旨在探讨经鼻十二指肠营养管在食管癌患者术后肠内营养治疗中的应用价值。方法将50例我院2014年1月至2016年10月期间行食管癌根治术的食管癌患者随机分为A组和B组,两组患者年龄、性别等一般资料经统计学分析,差异无统计学意义(P>0.05)。其中A组术中经鼻置入十二指肠营养管,术后常规行X-ray检查确认营养管位置;B组行空肠造瘘术。两组患者均在术后24小时后给予肠内营养治疗。结果 A组患者术中均顺利置入十二指肠营养管,平均置管时间为15分钟,术后经X-ray证实A组营养管末端均位于合适位置。B组患者均顺利完成空肠造瘘术,平均置管时间为20分钟,两组患者对营养管的耐受程度、导管相关并发症发生率无显著差别(P>0.05)。结论经鼻十二指肠营养管和空肠造瘘管在食管癌术后肠内营养治疗中各有利弊。经鼻十二指肠营养管在食管癌切除术后肠内营养的应用是安全、经济、可行的,尤其具有更广泛的适应人群,值得推广应用。
Objective Esophageal cancer was one of the common human gastrointestinal malignant tumor, the postoperative enteral nutrition therapy approach mainly included nasal duodenal nutrition tube and jejunum nutrient catheter. This study aimed to explore the application value of the nasal duodenal nutrition tube in postoperative enteral nutrition of esophageal carcinoma. Methods We enrolled 50 patients, diagnosed as esophageal carcinoma, who received the resection of esophageal carcinoma and postoperative enteral nutrition from Jan. 2014 to Oct. 2016. All the patients were divided into group A and group B, the basic information of two groups of patients such as age, gender were analyzed, and there were no signifcant differences （P〉0.05）, the patients of group A were placed the nasal duodenal nutrition tube during operation, the position of the nasal duodenal nutrition tubes were verifed by X-ray routinely after operation; group B were placed the jejunum nutrient catheter. All the patients were supported by the enteral nutrition 24 hours after operation. Results All the patients of group A were successfully placed the duodenal nutrition tube, the mean time was 15 minutes. The position of tubes were verifed well done in the duodenum by X-ray. The patients of group B were successfully completed jejunostomy, the mean time was 20 minutes, there were no signifcant differences between the two groups on the tolerance of nutrition tube and incidence of catheter related complications （P〉0.05）. Conclusions Each of the two approach have advantages and disadvantages, but nasal duodenal nutrition tube was security, economic and feasible for the esophageal carcinoma patients who needed postoperative enteral nutrition, especially it had a wider feasible crowd and could be widely generalized.
作者
关志宇
张军
王硕
马振健
GUAN Zhi-yu ZHANG Jun WANG Shuo MA Zhen-jian(Department of Thoracic Surgery, The Second Hospital of Tianjin Medical University, Tianjin 300211, China)
出处
《肿瘤代谢与营养电子杂志》
2017年第2期194-197,共4页
Electronic Journal of Metabolism and Nutrition of Cancer
基金
天津市卫生与计划生育委员会攻关项目(15KG138)
关键词
食管癌
营养治疗
十二指肠营养管
空肠造瘘
Esophageal carcinoma
Nutritional therapy
Duodenalnutrition catheter
Jejunum nutrient catheter
