腹腔镜膀胱癌根治术联合快速康复外科理念治疗浸润性膀胱癌临床效果研究  

Laparoscopic radical cystectomy combined with fast track surgery in the treatment of invasive bladder cancer

作　　者：李志伟[1] 金红旭[1] 曹志强[1] 

机构地区：[1]沈阳军区总医院急诊医学部,辽宁沈阳110016

出　　处：《临床军医杂志》2017年第4期346-348,共3页Clinical Journal of Medical Officers

摘　　要：目的探讨腹腔镜膀胱癌根治术联合快速康复外科理念治疗浸润性膀胱癌的临床效果。方法回顾性分析2014年1月至2015年12月收治的56例浸润性膀胱癌患者的临床资料,其中,采用传统开放性膀胱癌根治术进行治疗的28例患者作为A组,采用腹腔镜膀胱癌根治术联合快速康复外科理念进行治疗的28例患者作为B组。比较两组患者手术平均时间、术中平均失血量、术后首次排气时间、术后疼痛持续时间、术后切口感染率及术后平均住院时间。对两组患者随访6~12个月,记录并发症发生例数并计算发生率。结果 B组手术平均时间、术中平均失血量、术后首次排气时间、术后疼痛持续时间、术后切口感染率及术后平均住院时间均明显低于A组,差异有统计学意义(P<0.05)。所有患者治愈出院后随访6~12个月,B组随访6个月、12个月的并发症发生率均明显低于A组,差异有统计学意义(P<0.05)。结论采用腹腔镜膀胱癌根治术联合快速康复外科理念治疗浸润性膀胱癌安全有效,可加速患者术后康复,与传统开放性膀胱癌根治术比较,具有一定的优势,值得临床推广应用。Objective To investigate clinical efficacy of the laparoscopic radical cystectomycombined with fast track surgery（ FTS） in the treatment of invasive bladder cancer. Methods A retrospective study was performed on 56 patients with invasive bladder cancer who were admitted from January 2014 to December 2015. Among 56 patients,28 patients who received traditional open radical cystectomy were in the traditional group; the other 28 patients who received laparoscopic radical cystectomy combined with fast track surgery were in the observation group. The operative time,intraoperative blood loss,first exhaust time after operation,postoperative pain time,postoperative complication and postoperative hospitalization of the two groups were compared. All the patients were followed up for 6 to 12 months,and the occurrence rate of postoperative complications were analyzed. Results The operative time,intraoperative blood loss,first exhaust time after operation,postoperative pain time,postoperative complication and postoperative hospitalization of observation group were significantly lower than those of the traditional group,and the difference had statistical significance（ P〈0. 05）. All the patients were followed up for 6 to 12 months,the occurrence rate of complications at 6 months and 12 months during follow-up period was significantly lower than that in the traditional group,and the difference had statistical significance（ P〈0. 05）. Conclusion Compared with traditional open radical cystectomy,the application of the laparoscopic radical cystectomy combined with fast track surgery in the treatment of patients with invasive bladder cancer has better clinical efficacy,accelerated rehabilitation process and obvious advantages,which is worthy of clinical promotion.

关 键 词：腹腔镜膀胱癌根治术 快速康复外科 开放性膀胱癌根治术 

分 类 号：R737.14[医药卫生—肿瘤]