肠内营养在食管癌手术中胸导管结扎病例的应用

Value of enteral nutrition on thoracic duct ligation in esophageal cancer patients

目的了解胸导管结扎后肠内营养治疗对胸腔引流情况的影响。方法将116例食管癌手术患者分成肠内营养组(A组)和非肠内营养组(B组)。两组均在手术同期行低位胸导管结扎。A组病例术中置空肠营养管,从术后第1天开始肠内营养至术后第7天。B组患者术后肠外营养。两组病例分别统计胸腔引流量及胸管置留天数。结果两组病例的胸腔引流量和引流天数的差异无统计学意义。A组病例平均引流量(1087±98)m l,引流天数:(4.53±1.19)d。B组病例平均引流量(1268±103)m l,引流天数:(4.34±1.37)d。结论食管癌手术中胸导管结扎后可以施行早期肠内营养,不会引起胸腔引流量的增加和置管时间延长。

Aim To explore the value of Understanding of thoracic duct ligation enteral nutrition after treatment of pleural drainage situation. Methods 116 esophageal cancer patients were divided into enteral nutrition group （A group） and non-enteral nutrition group（ B group）. Both groups were low in the surgery of thoracic duct ligation. A group of surgery patients will be placed jejunal feeding tube ,from the I st day after the beginning of enteral nutrition to postoperative day 7. Group B patients will be in parenteral nutrition after surgery. For two groups, thoracic tube drainage and the number of days to stay in chest were recorded respectively. Results There was no statistical difference in both groups. For group A the whole drainage was（ 1087±98 ） ml, and the number of days was（4.53± 1.19） days. For group B the average drainage was （ 1268 ±103） ml and the number of days was （4.34 ±1.37 ） days. Conclusions Esophageal cancer surgery after thoracic duct ligation could be implemented in early enteral nutrition, which will not cause an increase in chest drainage and cathetenzation time.