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目的:探讨肠内营养在肝门胆管癌切除后的应用价值。方法:回顾性分析开滦医院24年间收治的肝门胆管癌行切除术89例患者的临床资料。其中52例早期应用肠内营养(EN),37例术后行肠外营养(PN)。分析两组患者术后胆瘘发生率、肠功能恢复时间、黄疸指数、术后体温、住院费用等的差异。结果:与PN组比较,EN组肠功能恢复早、胆瘘发生率低、术后体温恢复快、平均住院费用低(均P<0.05)。结论:肠内营养应用于胆管癌切除术后是安全可行的;它既可改善患者术后营养,又可促进肠道功能恢复,降低胆瘘发生率。
Objective: To investigate the value of enteral nutrition after resection of hilar cholangiocarcinoma. Methods: The clinical data of 89 patients with hilar cholangiocarcinoma who underwent resection in Kailuan Hospital for 24 years were retrospectively analyzed. Among them, 52 cases were enteral nutrition (EN) early and 37 cases were parenteral nutrition (PN). Analysis of two groups of patients after the incidence of biliary fistula, intestinal function recovery time, jaundice index, postoperative body temperature, hospital costs and other differences. Results: Compared with PN group, EN had earlier recovery of intestinal function, lower incidence of biliary fistula, rapid recovery of postoperative body temperature and lower average hospitalization costs (all P <0.05). Conclusion: Enteral nutrition is safe and feasible after cholangiocarcinoma resection. It can not only improve postoperative nutrition, but also promote intestinal function recovery and reduce the incidence of biliary fistula.