快速康复外科在支气管袖状肺叶切除治疗中央型肺癌中的应用  

Application of fast-track surgery in peri-operative management of sleeve lobectomy for central lung cancer

作　　者：李立明[1] 赵松[1] 

机构地区：[1]郑州大学第一附属医院胸外科,450052

出　　处：《中国实用医刊》2013年第19期4-6,共3页Chinese Journal of Practical Medicine

摘　　要：目的探讨快速康复外科理念在支气管袖状肺叶切除治疗中央型肺癌中的应用。方法选择在郑州大学第一附属医院接受支气管袖状肺叶切除治疗的中央型肺癌患者57例，随机分为两组，快速康复处理组23例围术期采用快速康复外科理念进行处理，对照组34例围术期按传统方法处理。结果快速康复处理组术后排气时间、术后拔除胸腔引流管时间、术后住院时间、住院总费用均低于对照组（P〈0．05）。快速康复处理组发生切口感染／裂开2例（8．70％），心血管并发症1例（4．35％），肺不张／肺部感染3例（13．04％），显著低于对照组，差异有统计学意义（P〈0．05）。结论中央型肺癌行支气管袖状肺叶切除术患者围术期应用快速康复外科理念，可促进术后功能恢复，减少术后并发症发生率，从而改善患者的临床结局。Objective To investigate the application of fast-track surgery in peri-operative man-agement of sleeve lobectomy for central lung cancer. Methods The clinical data of 57 patients with cen-tral lung cancer between January 2012 and April 2013 were retrospectively analyzed ,23 cases in fast-track surgery group were treated by fast-track surgery and 34 cases in control group were treated according to routine protocol in the peri-operative Results Postoperative exhaust postoperative chest tube drainage time tion, postoperative hospitalization time period. time, extrae-of fast-track surgery group were significantly shorter than those of control group（all P 〈0. 05）. Wound infection/ split open in 2 cases （8. 70% ）, cardiovascular complications in 1 case （4. 35% ）, atelectasis/lung infec-tion in 3 cases （ 13.04% ） in fast-track surgery group, and these were significantly lower than those in con-trol group （P 〈 0. 05 ）. Conclusions Application of fast-track surgery in peri-operative management of sleeve lobectomy for central lung cancer patients can promote function recovery and decrease morbidity.

关 键 词：支气管袖状肺叶切除术 中央型肺癌 围术期 快速康复外科 

分 类 号：R734.2[医药卫生—肿瘤]