快速康复外科理念在保留肾单位围手术期中的应用研究  

The application study of concept of fast track surgery in nephron sparing surgery of perioperative period

作　　者：程川[1] 张林林[1] 张维涛[1] 刘洪年[1] 綦岩[1] 李金涛[1] 周玉海[1] 宋洪斌[1] 

机构地区：[1]泰山医学院附属医院泌尿外科,山东泰安271000

出　　处：《泰山医学院学报》2012年第9期641-646,共6页Journal of Taishan Medical College

摘　　要：目的研究分析快速康复外科理念在保留肾单位治疗局限性肾癌的应用效果,证实其确切的临床效果,为其临床推广奠定基础。方法我院2008年3月至2012年7月选择70例局限性肾癌患者作为研究对象,平均分为两组,一组为传统围手术期治疗方法组,一组为快速康复外科治疗方法组,两组均采用保留肾单位肾部分切除手术,比较两组术后胃肠功能恢复时间,住院时间,以及术后并发症发生率。结果与传统围手术期治疗组相比,快速康复组术后胃肠功能恢复时间明显缩短(P<0.05),术后住院时间明显缩短(P<0.05),术后并发症发生率明显减少(P<0.05)。结论快速康复理念对保留肾单位肾部分切除手术患者,对能明显的促进胃肠功能的早期恢复,减少了术后并发症的发生,缩短了住院日,减少了住院费用,提高了病人的满意度。Objective ：To study the effect of fast track surgery concept in nephron sparing Surgery of perioperative period, and to confirm the exact clinical effect, for clinical promotion lays a foundation. Methods ： 70 cases with localized renal carcinoma who underwent operations in our hospital from March 2000 to Jan 2006 were divided into two groups, conventional perioperative management group （CPM） and fast track surgery group group （FST） , and tow groups were treated with nephron sparing surgery, the data of recovery of gastrointestinal function, The data of hospital stays and incidence of complications postoperative complication were comparded between the two groups. Results： Comparded with CPM group, cases in FST group with shorten time of recovery of gastrointestinal function （P 〈 0.05 ）, shorten the data of hospital stays （P 〈 0.05）, lower complications postoperative complication（P 〈 0.05 ）. Conclusion： methods of fast track surgery used in in nephron sparing surgery of can apparently accelerates the time of recovery of gastrointestinal function , and reduces complications, shorten timestay in hospital and cuts down the total cost, improved patients satisfaction.

关 键 词：快速康复外科 保留肾单位手术 局限性肾癌 

分 类 号：R699.2[医药卫生—泌尿科学]