快速康复外科理念在腹腔镜直肠癌手术治疗中的临床应用

发布时间：2018-11-01 18:36

【摘要】：目的:探讨快速康复外科理念(FTS)在腹腔镜直肠癌手术治疗中的临床价值。方法:选取胃肠外科拟进行手术治疗的直肠癌患者93例,根据术前征求患者意见分为FTS组44例、常规组49例,FTS组采用腹腔镜下直肠癌手术结合FTS治疗,常规组仅采用常规腹腔镜手术治疗。结果:FTS组与常规组的手术时间、术中出血量、切口长度、淋巴结清扫数目均无统计学差异(P0.05);FTS组患者术后肛门排气时间、住院时间分别为(3.1±0.8)d、(7.7±1.8)d,均优于常规组的(4.4±1.1)d、(11.2±3.6)d(P0.05);术后FTS组患者的CRP、IL-6、WBC、TNF-α水平均显著的低于常规组患者(P0.05);FTS组患者的手术并发症率4.55%,低于常规组患者的12.24%,但差异无统计学意义(P0.05)。结论:腹腔镜下直肠癌手术结合FTS治疗有利于减轻手术创伤及应激反应。
[Abstract]:Objective: to evaluate the clinical value of rapid rehabilitation surgery (FTS) in laparoscopic rectal cancer surgery. Methods: a total of 93 patients with rectal cancer undergoing gastrointestinal surgery were divided into FTS group (n = 44) and conventional group (n = 49) according to preoperative advice. The FTS group was treated with laparoscopic rectal cancer surgery combined with FTS. Routine laparoscopic surgery was used only in the routine group. Results: there was no significant difference between FTS group and routine group in operation time, intraoperative bleeding volume, incision length and the number of lymph node dissection (P0.05). The postoperative anal exhaust time and hospitalization time in FTS group were (3.1 卤0.8) d, (7.7 卤1.8) days, which were significantly higher than those in routine group (4.4 卤1.1) d, (11.2 卤3.6) d (P0.05). The level of CRP,IL-6,WBC,TNF- 伪 in FTS group was significantly lower than that in routine group (P0.05). The operative complication rate of FTS group was 4.55%, which was lower than that of routine group (12.24%), but the difference was not statistically significant (P0.05). Conclusion: laparoscopic rectal cancer surgery combined with FTS treatment is beneficial to reduce surgical trauma and stress response.
【作者单位】：南阳医学高等专科学校第一附属医院普外三科;河南省南阳市第三人民医院普通外科;
【分类号】：R735.37

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