CAJ | 학술논문

目的：研究在腹腔镜子宫次全切除术中运用快速外科康复理念的安全性和可行性。方法选择2011年3月-2013年2月期间于该院行腹腔镜子宫次全切除术患者398例，分别采用FTS理念和传统处理原则管理围手术期，比较两组患者术后住院时间、住院费用、恶心呕吐、术后进食时间、术后肛门排气时间、术后并发症的发生率等。结果研究组患者住院天数为（4.0±1.2） d，对照组为（6.7±1.3） d，研究组住院费用为（5684.4±213.7），对照组为（6754.6±179.9），研究组术后进食时间（6.0±0.9） h,对照组为（9.4±2.6） h；研究组术后肛门排气时间为（14.5±3.8） h,对照组为（22.3±3.3） h；研究组和对照组术后并发症均为0例，研究组较传统组住院时间短，住院费用低，术后进食时间、术后肛门排气时间明显提前，术后并发症少，康复快，差异有统计学意义（P＜0.05）。结论将快速外科康复理念应用在腹腔镜子宫次全切除术患者的围手术期处理，有利于患者快速康复。
목적：연구재복강경자궁차전절제술중운용쾌속외과강복이념적안전성화가행성。방법선택2011년3월-2013년2월기간우해원행복강경자궁차전절제술환자398례，분별채용FTS이념화전통처리원칙관리위수술기，비교량조환자술후주원시간、주원비용、악심구토、술후진식시간、술후항문배기시간、술후병발증적발생솔등。결과연구조환자주원천수위（4.0±1.2） d，대조조위（6.7±1.3） d，연구조주원비용위（5684.4±213.7），대조조위（6754.6±179.9），연구조술후진식시간（6.0±0.9） h,대조조위（9.4±2.6） h；연구조술후항문배기시간위（14.5±3.8） h,대조조위（22.3±3.3） h；연구조화대조조술후병발증균위0례，연구조교전통조주원시간단，주원비용저，술후진식시간、술후항문배기시간명현제전，술후병발증소，강복쾌，차이유통계학의의（P＜0.05）。결론장쾌속외과강복이념응용재복강경자궁차전절제술환자적위수술기처리，유리우환자쾌속강복。
Objective To study the feasibility and safety of fast track surgery in patients with laparoscopic supracervical hysterectomy. Methods 398 patients undergoing laparoscopic supracervical hysterectomy in our hospital from March, 2011 to February, 2013 were selected and treated with FTS concept and conventional treatment principles during the perioperative period, respectively. The postoperative hospital stay, hospitalization expenses, postoperative nausea and vomiting, the time of restoration of taking food after operation, postoperative anal exhaust time and incidence of complications of two groups of patients were compared. Results The length of stay of the study group was (4.0±1.2)d, and that of the control group was (6.7±1.3)d;the hospitalization expense of the study group was 5684.4 ±213.7, and that of the control group was 6754.6 ±179.9; the time of restoration of taking food after operation of the study group was (6.0±0.9)h, and that of the control group was (9.4±2.6)h;postoperative anal exhaust time of the study group was (14.5±3.8)h, and that of the control group was 22.3±3.3h;both the study group and the control group had 0 case with complications; compared with the conventional group, the study group's length of stay was shorter, hospitalization expense was lower, the time of restoration of taking food after operation and postoperative anal exhaust time was much earlier, the postoperative complications were less, the recovery was quicker, the differences were statistically significant (P<0.05). Conclusion FTS applied to the treatment of patients with laparoscopic supracervical hysterectomy during the perioperative period contributes to the faster recovery of the patients.