CAJ | 학술논문

目的：评价改良空肠造瘘在食管癌手术中的临床价值。方法对行二切口或三切口的食管癌患者术中行空肠造瘘置管，术后行肠内营养。观察术后情况。结果食管癌患者术后并发肺部感染2例，吻合口瘘1例(患者伴右肺上叶腺癌，同时行右肺上叶切除，术后伴支气管胸膜瘘)，双侧喉返神经损伤2例，无手术死亡。结论改良空肠造瘘置管是食管癌术后早期或长期肠内营养支持及并发症防治的有效途径。
목적：평개개량공장조루재식관암수술중적림상개치。방법대행이절구혹삼절구적식관암환자술중행공장조루치관，술후행장내영양。관찰술후정황。결과식관암환자술후병발폐부감염2례，문합구루1례(환자반우폐상협선암，동시행우폐상협절제，술후반지기관흉막루)，쌍측후반신경손상2례，무수술사망。결론개량공장조루치관시식관암술후조기혹장기장내영양지지급병발증방치적유효도경。
Objective To evaluate the effect of improved jejumum tube placing in operation for patients with esophageal carcinoma.Methods Jejumum tube placing were applied to patients with esophageal carcinoma who had undergone esophectomy by two or three incisions. Enteral nutrition supports were given to patients after operation, observed the postoperative condition.Results There was no operation related death, 2 cases with pneumonitis, 1 case with anastomotic leakage, 2 cases with injury of recurrent laryngeal nerve in this group. Conclusion Improved jejumum tube placing is an effective method to prevent complications and can give early or long-term enteral nutritional supports to patients with esophageal carcinoma after operation.