目的  食管癌是人类常见的消化道恶性肿瘤之一，食管癌术后肠内营养治疗的途径主要包括经鼻十二指肠营养 管和空肠造瘘管两种。本研究旨在探讨经鼻十二指肠营养管在食管癌患者术后肠内营养治疗中的应用价值。方法  将50 例 我院2014 年 1 月至2016 年 10 月期间行食管癌根治术的食管癌患者随机分为A 组和B 组，两组患者年龄、性别等一般资 料经统计学分析，差异无统计学意义（P ＞ 0.05）。其中A 组术中经鼻置入十二指肠营养管，术后常规行X-ray 检查确认 营养管位置；B 组行空肠造瘘术。两组患者均在术后24 小时后给予肠内营养治疗。结果  A 组患者术中均顺利置入十二指 肠营养管，平均置管时间为15 分钟，术后经X-ray 证实A 组营养管末端均位于合适位置。B 组患者均顺利完成空肠造瘘 术，平均置管时间为20 分钟，两组患者对营养管的耐受程度、导管相关并发症发生率无显著差别（P ＞ 0.05）。结论  经 鼻十二指肠营养管和空肠造瘘管在食管癌术后肠内营养治疗中各有利弊。经鼻十二指肠营养管在食管癌切除术后肠内营养 的应用是安全、经济、可行的，尤其具有更广泛的适应人群，值得推广应用。

Objective Esophageal cancer was one of the common human gastrointestinal malignant tumor, the postoperative enteral nutrition therapy approach mainly included nasal duodenal nutrition tube and jejunum nutrient catheter. This study aimed to explore the application value of the nasal duodenal nutrition tube in postoperative enteral nutrition of esophageal carcinoma. Methods We enrolled 50 patients, diagnosed as esophageal carcinoma, who received the resection of esophageal carcinoma and postoperative enteral nutrition from Jan. 2014 to Oct. 2016. All the patients were divided into group A and group B, the basic information of two groups of patients such as age, gender were analyzed, and there were no significant differences (P>0.05), the patients of group A were placed the nasal duodenal nutrition tube during operation, the position of the nasal duodenal nutrition tubes were verified by X-ray routinely after operation; group B were placed the jejunum nutrient catheter. All the patients were supported by the enteral nutrition 24 hours after operation. Results All the patients of group A were successfully placed the duodenal nutrition tube, the mean time was 15 minutes. The position of tubes were verified well done in the duodenum by X-ray. The patients of group B were successfully completed jejunostomy, the mean time was 20 minutes, there were no significant differences between the two groups on the tolerance of nutrition tube and incidence of catheter related complications (P>0.05). Conclusions Each of the two approach have advantages and disadvantages, but nasal duodenal nutrition tube was security, economic and feasible for the esophageal carcinoma patients who needed postoperative enteral nutrition, especially it had a wider feasible crowd and could be widely generalized.