快速康复外科联合射频消融辅助保脾手术在治疗外伤性脾破裂中的应用  

Application of Fast Track Surgery Combined with Radiofrequency Ablation in the Treatment of Traumatic Splenic Rupture

作　　者：成正军 何中林[2] 

机构地区：[1]重庆市九龙坡第二人民医院普外科,重庆518033 [2]重庆市第九人民医院普外一科,重庆400700

出　　处：《四川医学》2016年第11期1253-1256,共4页Sichuan Medical Journal

摘　　要：目的探讨快速康复外科(FTS)在射频消融(RFA)辅助保脾术治疗外伤性脾破裂中应用的临床效果。方法选取2011年1月至2014年1月在我科因外伤性脾破裂行RFA辅助保脾手术的患者70例,随机分为快速康复组(FTS组,35例)和对照组(35例),FTS组围手术期接受快速康复外科治疗,对照组围手术期接受传统治疗,比较患者的康复情况、并发症、应激反应、住院时间、住院费用。结果 FTS组患者术后耐受半流质食物时间、首次下床时间、首次排气时间、排便时间、住院时间和住院费用均低于对照组,FTS组并发症发生概率低于对照组,FTS组术后5d WBC和CRP低于对照组,差异均有统计学意义(P<0.05)。结论治疗外伤性脾破裂时,FTS可有效促进RFA辅助保脾手术患者术后康复,减少住院时间和住院费用,减少术后并发症,减轻术后应激反应。Objective To investigate the clinical effect of rapid rehabilitation surgery（ FTS） in the treatment of traumatic splenic rupture with the aid of radiofrequency ablation（ RFA）.Methods 70 cases of patients with RFA assisted spleen preserving surgery for traumatic rupture of spleenfrom January 2011 to January 2014 in our department were selected and randomly divided into rapid rehabilitation group（ 35 cases of FTS group） and control group（ 35cases）.The FTS group was received rapid rehabilitation surgery during the perioperative period,while the control group was given conventional treatment.Patients＇ recovery,complications,stress response,hospital stay,and hospital costs were compared.Results The postoperative tolerance semi liquid foodtime,getting out of bed for the first time,the first exhaust time,defecation time,hospitalization time and hospitalization costs of patients in FTS group were all lower than those in control group.The incidence of complications in FTS group was lower than that in control group.5 days after surgery,WBC and CRP of FTS group were lower than those of control group. And the differences wereall statistically significant（ P〈0. 05）.Conclusion In the treatment of traumatic rupture of spleen,FTS can effectively promote the postoperative rehabilitation of patients with RFA assisted spleen preserving surgery,reduce hospital stay and hospital costs,reduce postoperative complications,and reduce the postoperative stress response.

关 键 词：快速康复外科 射频消融 外伤 脾破裂 保脾手术 

分 类 号：R657.62[医药卫生—外科学]