CAJ | 학술논문

目的：探讨腹腔镜结直肠癌手术患者围手术期治疗中快速康复治疗模式对比标准治疗是否具有优势。方法：选取2009年2月-2013年12月笔者所在医院收治的28例行腹腔镜结直肠癌手术患者(快速康复组)，采用快速康复治疗模式，与同期开展的30例采用标准处理方案的患者(对照组)进行对比分析。结果：快速康复组和对照组所有患者均完成手术无中转开腹。快速康复组总住院时间、术后住院时间、住院费用明显少于对照组，差异有统计学意义(P<0.05)。两组再手术率、再入院率、并发症发生率比较差异无统计学意义(P>0.05)。结论：腹腔镜结直肠癌手术患者围手术期采用快速康复治疗措施可以减少住院时间及治疗费用，值得临床推广。
목적：탐토복강경결직장암수술환자위수술기치료중쾌속강복치료모식대비표준치료시부구유우세。방법：선취2009년2월-2013년12월필자소재의원수치적28례행복강경결직장암수술환자(쾌속강복조)，채용쾌속강복치료모식，여동기개전적30례채용표준처리방안적환자(대조조)진행대비분석。결과：쾌속강복조화대조조소유환자균완성수술무중전개복。쾌속강복조총주원시간、술후주원시간、주원비용명현소우대조조，차이유통계학의의(P<0.05)。량조재수술솔、재입원솔、병발증발생솔비교차이무통계학의의(P>0.05)。결론：복강경결직장암수술환자위수술기채용쾌속강복치료조시가이감소주원시간급치료비용，치득림상추엄。
Objective:To investigate the perioperation period of rectal cancer with laparoscopic operation in the treatment of patients with rapid rehabilitation treatment compared to the standard model has a comparative advantage.Method:From February 2009 to December 2013 selected based in author’s hospital of 28 cases of laparoscopic colorectal cancer surgery patients(rapid rehabilitation group),and adopts the model of rapid rehabilitation,with the same period of 30 cases with a standard treatment scheme of patients(control group) were analyzed.Result:Fast rehabilitation group and control group,all patients completed the operation without conversion to laparotomy. Fast rehabilitation group total hospitalization time,postoperative hospital stay,cost of hospitalization were significantly less than the control group,the differences were statistically significant(P<0.05). The re operation rate,re hospitalization rate,complication rate of two groups had no significant difference(P>0.05).Conclusion:Laparoscopic surgery for colorectal cancer patients with perioperative measures to promote rapid rehabilitation can reduce the length of stay and cost of treatment,is worth the clinical promotion.