下段食管癌切除术后经鼻和经皮穿刺放置空肠营养管的临床转归

Clinical outcome of jejunum nubrient canal placed via by nasal and percutaneous puncture after resection of lower esophageal cancer

目的比较下段食管癌切除术后经鼻和经皮穿刺放置空肠营养管的临床转归。方法选择接受下段食管癌根治术以及术后肠内营养支持的患者113例,其中经鼻肠管59例为A组,经皮穿刺空肠营养管54例为B组。比较2组体质量、人血白蛋白、前白蛋白、并发症、营养和置管天数的差异。结果 2组术后体质量变化无显著差异;2组术后第7、14天前白蛋白及术后第14天白蛋白水平有显著差异;A组导管相关并发症发生率显著低于B组;A组能完成肠内营养支持比例显著高于B组。结论经鼻肠管肠内营养并发症少,营养支持效果好,可能更适合下段食管癌患者术后营养支持。

Objective To compare the clinical outcome of jejunum nubrient canal placed via by nasal and percutaneous puncture after resection of lower esophageal cancer. Methods A total of 113 patients receiving the lower esophageal cancer radical resection and postoperative enteral nutri- tion were selected, in which 59 patients via nasointestinal tube were enrolled as group A, while 54 patients via percutaneous jejunum nubrient canal as group B. The body weight, serum albumin, prealbumin, complications, nutrition and indwelling days of two groups were compared. Results Postoperative body weight changes showed no significant difference between two groups. In both groups, serum prealbumin onpostoperative day 7 and d 14, and albumin on day 14 had significant differences. The catheter-related complication rate in group A was significantly lower than that in group B. More patients in group A could complete enteral nutrition support than that in group B. Conclusion Enteral nutrition via nasointestinal tube had fewer complications and better nutritional support effects, which may be more suitable for the postoperative nutritional support in the lower esophageal cancer.