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目的初步探讨低位/超低位直肠癌快速流程模式的临床效果。方法回顾性研究2007年10月至2008年12月期间四川大学华西医院胃肠外科中心结直肠外科专业组收治的行未造口的根治性切除术的120例低位/超低位直肠癌患者的病例资料,分析快速流程管理模式下(快速流程组)与传统管理模式下(传统组)患者早期恢复情况。结果从术后早期康复指标来看,快速流程组的首次排气时间、首次下床活动时间、首次经口进食时间、首次拔除尿管时间及术后住院时间均短于传统组,差异有统计学意义(P<0.05);而2组首次拔除胃管和引流管时间的差异则没有统计学意义(P>0.05)。2组患者术后并发症发生率的差异亦没有统计学意义(P>0.05)。结论低位/超低位直肠癌快速流程模式具有良好的安全性,能够促进患者早期康复、缩短住院时间。
Objective To investigate the clinical effect of rapid flow pattern of low / super low rectal cancer. Methods A retrospective study of 120 patients with low / low rectal cancer treated with radical resection without stoma admitted to Department of Colorectal Surgery, West China Hospital, West China Hospital, Sichuan University from October 2007 to December 2008 was retrospectively reviewed. Data to analyze the early recovery of patients in the rapid-process management mode (fast process group) and the traditional management mode (traditional group). Results From the early postoperative rehabilitation indicators, the first extubation time, the first ambulation time, the first oral intake time, the first removal of the catheter and the postoperative hospital stay in the fast-flow group were shorter than those in the traditional group, with statistical differences (P <0.05). However, there was no significant difference between the two groups in the time of first removal of gastric tube and drainage tube (P> 0.05). There was no significant difference in the incidence of postoperative complications between the two groups (P> 0.05). Conclusion The low-level / ultra-low rectal cancer rapid process model has good safety, which can promote the early rehabilitation of patients and shorten the hospitalization time.