加速康复理念在两镜下胆总管探查取石术患者中的临床疗效  

Effect of fast track surgery on clinical efficacy of laparoscopic common bile duct exploration combined with choledochoscopy

作　　者：王崇高[1] 江秋生[1] 朱乃海[1] 江平[1] 潘峰[1] 

机构地区：[1]南京市浦口区中心医院普外科,江苏省南京市211800

出　　处：《世界华人消化杂志》2017年第12期1083-1087,共5页World Chinese Journal of Digestology

基　　金：南京医科大学重点基金资助项目;No.NJMUZD100~~

摘　　要：目的探讨加速康复外科(fast track surgery,FTS)理念在腹腔镜联合胆道镜(两镜)胆总管探查取石患者的临床疗效.方法 45例行两镜下胆总管探查取石患者,按照随机原则分为传统治疗组(对照组)23例,加速康复组(观察组)22例,比较两组患者术后各临床指标、术后生活质量及患者满意度评分的差异.结果观察组术后首次下床活动时间、肛门排气时间、夹闭T管时间、住院时间、术后生活质量、患者满意度评分明显优于对照组(P<0.05);两组术后并发症及再入院率发生率无明显差异(P>0.05).结论 FTS理念用于两镜下胆总管探查取石术患者的围手术期处理不增加术后并发症的发生率,可加速患者康复,提高患者术后生活质量和满意度.AIM To evaluate the effect of fast track surgery （FTS） on the cliilical efficacy of laparoscopic common bile duct exploration combined with choledo- choscopy. METHODS Forty-five patients who underwent laparoscopic common bile duct exploration combined with choledochoscopy were randomly divided into a conventional treatment group （control group, n = 23） and a FTS group （observation group, n = 22）. Postoperative clinical indicators, postoperative quality of life and patient satisfaction scores were compared between the two groups.Times to ambulation, anal exhaust and T-tube removal and length of hospital stay were significantly shorter in the observation group than in the control group （P 〈 0.05）. Scores of postoperative quality of life and patient satisfaction were significantly better in the observation group than in the control group （P 〈 0.05）. The incidence of postoperative complications and readmission rate had no significant difference between the two groups （P 〉 0.05）.CONCLUSION Application of FTS during laparoscopic common bile duct exploration combined with choledochoscopy can accelerate rehabilitation and improve the postoperative quality of life and patient satisfaction without increasing the incidence of postoperative complications.

关 键 词：腹腔镜 胆道镜 胆总管结石 加速康复外科 

分 类 号：R657.4[医药卫生—外科学]