Ivor-Lewis食管癌术中营养管顺行置入的应用效果

Effect of nutrient tube anterograde catheterization during Ivor-Lewis esophagus cancer operation

目的 探讨Ivor-Lewis食管癌术中营养管顺行置法的应用效果。 方法 收集本院心胸外科Ivor-Lewis食管癌手术患者68例,将营养管顺行置入的35例作为观察组,空肠造瘘的33例作为对照组,对比2组应用效果。 结果 与对照组相比,观察组术中置管时间较短,术后恢复排气时间较早,差异有统计学意义(P<0.05);2组术后吻合口瘘及肺部感染、心律失常、肠梗阻方面差异无统计学意义(P>0.05);观察组舒适评分高于对照组(P<0.05)。 结论 Ivor-Lewis食管癌手术营养管顺行置入法安全、有效,不影响患者出院后生活,更易为患者接受。

Objective To explore the effect of nutrient tube anterograde catheterization during Ivor-Lewis esophagus cancer operation. Methods A total of 68 cases with Ivor-Lewis esophageal cancer were included in the study, among whom 35 cases with nutrient tube anterograde placement were as observation group, and 33 cases with jejunostomy were as control group. Results Compared with control group, observation group had shorter catheterization time during operation and earlier recovery of exhaust after operation ( P <0.05);there were no significant differences in postoperative anastomotic leakage, pulmonary infection, arrhythmia, intestinal obstruction;observation group had higher comfort scores than control group( P <0.05). Conclusion nutrition tube anterograde placement during Ivor-Lewis esophageal cancer surgery is a safe, and effective method, and it is more acceptable to patients.