射频消融置管在晚期食管癌患者营养支持中的应用效果

Application of radiofrequency ablation and catheter in nutrition support for patients with advanced esophageal carcinoma

目的探讨内镜下射频消融置管对晚期食管癌患者营养支持的应用效果。方法对42例4级狭窄梗阻的食管癌患者采用内镜下射频消融治疗后置入鼻胃管行肠内营养。结果 42例患者中40例经射频消融治疗后管腔再通,置管成功,成功率为95.2%;肠内营养1周后,患者体质量、前白蛋白(PAB)、白蛋白(ALB)和转铁蛋白较治疗前明显升高(P<0.05)。结论内镜下射频消融置管在解决晚期食管癌患者进食困难方面疗效显著,营养支持效果明显,操作简单,安全可靠。

Objective To study the application of radiofrequency ablation to patients with advanced esophageal carcinoma in nutri- tion support. Methods Forty-two patients with esophageal tumor obstruction of 4-grade stenosis were treated with endoscopic radio- frequency ablation and with insertion of nasogastric tube. Results Of the 42 patients, 40 were treated successfully in radiofrequen- ey ablation and insertion, with a success rate of 95.2%. After one week＇ s enteral nutrition, the weight, prealbumin （PAB） , albu- min （ALB） and transferrin were increased significantly, when compared with before （P 〈 0.05 ）. Conclusion Radiofrequency ablation and catheter in patients with advanced esophageal cancer is safe and reliable, and can solve difficulty in eating. The effect of uutritional support is obvious.