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目的比较三腔喂养管联合管状胃与传统手术方法治疗老年食管癌患者的临床效果。方法选取2007年1月至2013年1月绵阳市中心医院胸心外科收治的196例年龄大于60岁的食管癌患者,按手术方式不同分为三腔喂养管联合管状胃组(A组)和传统手术组(B组)。A组96例,男51例、女45例,年龄(66.21±7.32)岁;B组100例,男54例、女46例,年龄(65.43±6.37)岁。比较两组患者的临床指标。结果两组患者均顺利完成根治手术。两组患者手术时间、术中出血量、术后乳糜胸、术后喉返神经麻痹、吻合口瘘、吻合口狭窄发生率及死亡率等临床指标差异无统计学意义(P>0.05)。A组肛门排气时间和住院时间较B组显著缩短,术后心律失常、肺部并发症、胸胃综合征发生率较B组显著降低(P<0.05)。结论三腔喂养管空肠营养联合管状胃在老年食管癌手术中通过围手术期治疗可以降低部分并发症发生率,可缩短住院时间和改善患者的生活质量。
Objective To compare the clinical effects of triple-lumen feeding tube combined with tubular stomach and traditional surgical methods in the treatment of elderly patients with esophageal cancer. Methods One hundred and sixty-six patients with esophageal cancer who were older than 60 years of age who underwent thoracic-cardiac surgery from January 2007 to January 2013 in Mianyang Central Hospital were enrolled in this study. The patients were divided into three groups: Traditional surgery group (B group). A group of 96 patients, 51 males and 45 females, aged (66.21 ± 7.32) years; 100 cases of group B, 54 males and 46 females, age (65.43 ± 6.37) years. The clinical indexes of two groups were compared. Results The two groups of patients successfully completed radical surgery. There was no significant difference in clinical parameters between the two groups in terms of operation time, intraoperative blood loss, postoperative chylothorax, postoperative recurrent laryngeal nerve paralysis, anastomotic fistula, anastomotic stenosis and death rate (P> 0.05). The time of evacuation and hospital stay in group A were significantly shorter than those in group B. The incidence of postoperative arrhythmia, pulmonary complications and thoraco - gastric syndrome were significantly lower than those in group B (P <0.05). Conclusions The three-chamber feeding tube combined with jejunum nutrition and tubular stomach can reduce the incidence of some complications by perioperative treatment in elderly patients with esophageal cancer, which can shorten the hospital stay and improve the quality of life of patients.