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目的探讨术中应用三腔喂养管联合管状胃对老年食管癌患者的临床效果。方法选取2007年2月-2013年2月收治的年龄≥65岁食管癌患者588例。按手术方式不同随机分为三腔喂养管联合管状胃手术组(A组)288例与传统手术组(B组)300例。观察2组患者手术时间、吻合口瘘等14项临床指标。结果 2组患者手术时间、术中出血、术后乳糜胸、术后喉返神经麻痹和吻合口狭窄发生率比较差异均无统计学意义(P>0.05)。2组患者术后吻合口瘘,肛门排气时间、病死率、肛门排便时间、返流性食管炎、胸胃综合症、心律失常、肺部并发症及住院时间比较差异均有统计学意义(P<0.05)。结论对于高龄食管癌手术患者术中应用三腔喂养管空肠营养联合管状胃重建食管,能显著减少食管癌患者术后的并发症,减少吻合口瘘,降低病死率,能其提高生活质量,值得临床应用。
Objective To investigate the clinical effect of intraoperative use of triple-lumen feeding tube combined with tubular stomach on elderly patients with esophageal cancer. Methods A total of 588 patients with esophageal cancer of age 65 years or older who were admitted from February 2007 to February 2013 were enrolled. According to the different surgical methods, they were randomly divided into three groups: 288 cases in the triple-chamber feeding tube group and 300 cases in the traditional operation group (group B). Two groups of patients were observed for operation time, anastomotic fistula and other 14 clinical indicators. Results There was no significant difference in operative time, intraoperative bleeding, postoperative chylothorax, postoperative recurrent laryngeal nerve paralysis and anastomotic stenosis (P> 0.05). The postoperative anastomotic fistula, anal exhaust time, case fatality rate, anal defecation time, reflux esophagitis, thoracic stomach syndrome, arrhythmia, pulmonary complications and hospital stay in the two groups were statistically significant ( P <0.05). Conclusions For patients with advanced esophageal cancer surgery, the use of triple-lumen feeding tube jejunum nutrition combined with tubular stomach reconstruction esophagus can significantly reduce the postoperative complications of esophageal cancer patients, reduce anastomotic fistula and reduce mortality, which can improve the quality of life, it is worth Clinical application.