微创腹腔镜与开腹手术联合快速康复技术治疗直肠癌临床研究.docVIP

微创腹腔镜与开腹手术联合快速康复技术治疗直肠癌临床研究 　　[摘要] 目的 探讨微创腹腔镜与开腹手术联合快速康复技术（FTS）治疗直肠癌的临床价值。 方法 选取2010年 2月～2015年2月来我院治疗直肠的160例患者作为研究对象，根据治疗方式将其分为A组（传统开腹手术）、B组（传统开腹手术+FTS治疗）、C组（腹腔镜手术）和D组（腹腔镜术+FTS治疗），每组40例。比较4组的手术相关指标、应激指标及术后并发症发生率。 结果 C、D组患者的手术时间明显长于A、B组，A、B组的术中出血量明显多于C、D组，切口长度明显长于C、D组（P0.05）。 结论 微创腹腔镜与开腹手术联合快速康复技术在直肠癌治疗中有积极的临床应用价值，值得推广。 　　[关键词] 直肠癌；微创腹腔镜；开腹手术；快速康复技术 　　[中图分类号] R735.3+7 [文献标识码] A [文章编号] 1674-4721（2015）09（b）-0055-03 　　Clinical study of minimally invasive laparoscopy and laparotomy combined with fast track surgery in the treatment of rectal cancer 　　WANG Jian 　　Department of General Surgery，the Fifth People′s Hospital of Shangrao City in Jiangxi Province，Shangrao 334000，China 　　[Abstract] Objective To explore the clinical value of minimally invasive laparoscopy and laparotomy combined with fast track surgery （FTS） in the treatment of rectal cancer. Methods From February 2010 to February 2015，160 patients with rectal cancer were selected as research objects.According to different therapeutic method，they were evenly divided into group A （traditional laparotomy），group B （traditional laparotomy+FTS），group C （laparoscopy），and group D （laparoscopy+FTS）.The indexes related to surgery，stress indexes and incidence rate of postoperative complication among 4 groups was compared respectively. Results The operation time in group C and D was obviously longer than that in group A and B，and the intraoperative amount of bleeding in group A and B was obviously more than that of group C and D，and length of incision in group A and B was obviously longer than that of group C and D （P0.05）. Conclusion Minimally invasive laparoscopy and laparotomy combined with FTS has a positive application value in clinic in the treatment of rectal cancer，and it is worthy of promotion. 　　[Key words] Rectal cancer；Minimally invasive laparoscopy；Laparotomy；Fast track surgery 　　直肠癌是一种消化系统中常见的恶性肿瘤，严重威胁到患者的健康[1]。临床治疗主要采用手术切除法[2]，但由于直肠癌解剖位置较深，开腹手术创伤面积大，手术风险难控制，临床上一直谨慎采用。近年来，快速康复技术被广泛运用于直肠癌根治术的术后处理。相关工作人