CAJ | 학술논문

目的：观察腹腔镜结直肠癌根治术中，围手术期快速康复外科（ FTS）应用于临床的安全性和有效性。方法结直肠癌限期手术患者31例，按照收治时间的差异而采用的不同治疗方法分为两组：FTS组14例按快速康复理念行围手术期处理，对照组17例按传统方法行围手术期处理。临床观察指标两组进行比较并对结果进行分析。结果 FTS组术后下床时间、肠功能恢复排气时间、自行排尿时间、进食时间与对照组比较均显著提前，术后住院时间明显缩短，差异有统计学意义（P＜0．05）。术后不良反应发生率FTS组2例，传统组3例。其中对照组于术后第5天发现左下肢深静脉血栓形成1例，经溶栓处理3天后好转；发生吻合口漏2例对症治愈。 FTS组发生不全性肠梗阻1例，吻合口漏1例均对症处理治愈。结论腹腔镜手术加FTS技术的应用能加速结直肠癌手术患者的术后康复，值得临床推广应用。
목적：관찰복강경결직장암근치술중，위수술기쾌속강복외과（ FTS）응용우림상적안전성화유효성。방법결직장암한기수술환자31례，안조수치시간적차이이채용적불동치료방법분위량조：FTS조14례안쾌속강복이념행위수술기처리，대조조17례안전통방법행위수술기처리。림상관찰지표량조진행비교병대결과진행분석。결과 FTS조술후하상시간、장공능회복배기시간、자행배뇨시간、진식시간여대조조비교균현저제전，술후주원시간명현축단，차이유통계학의의（P＜0．05）。술후불량반응발생솔FTS조2례，전통조3례。기중대조조우술후제5천발현좌하지심정맥혈전형성1례，경용전처리3천후호전；발생문합구루2례대증치유。 FTS조발생불전성장경조1례，문합구루1례균대증처리치유。결론복강경수술가FTS기술적응용능가속결직장암수술환자적술후강복，치득림상추엄응용。
Objective To explore the safety and efficacy of fast track surgery in colorectal cancer radical operation with laparoscopes in the perioperative period .Methods 31 cases of patients with colorectal cancer surgical operation treatment .One group was treated by FTS and the other was treated by traditional method during preoperative period .Compared two groups of patients with the time of out bed ,voluntary urination ,passage of gas by anus,liquid,stop intravenous infusion,postoperative hospital stay,hospital charges,and adverse reaction in perioperative period ,then analyzed the results .Results Compared with the control group , the time of out bed , voluntary urination,passage of gas by anus,semi-liquid,stop intravenous infusion,postoperative hospital stay of FTS group was shorter,hospital costs were reduced,P <0.05.Conclusions Fast track surgery in colorectal cancer radical operation with laparoscopes in the perioperative period can accelerate recovery of intestinal function, not increase postoperative complications and help postoperative rehabilitation , is worthy of clinical application .