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目的研究快速康复在直肠癌腹腔镜Miles术中的临床应用。方法选取2011年3月~2012年7月于本科就诊的直肠癌患者62例为观察组,实施快速康复措施并行腹腔镜Miles术,回顾性对比2009年3月~2010年7月于本科就诊的直肠癌患者82例作为对照组,行常规开腹手术,对比两组患者术后肠道功能恢复时间、住院天数及术后并发症(感染、梗阻、出血等)的发生情况。结果两组患者手术均顺利进行,观察组无中转开腹病例。两组术后肠道功能恢复时间、住院天数的比较,差异有统计学意义(P<0.05);术后并发症比较,差异无统计学意义(P>0.05)。结论快速康复在腹腔镜直肠癌Miles术中的应用是安全有效的。
Objective To study the clinical application of rapid rehabilitation in Laparoscopic Miles operation of rectal cancer. Methods Sixty-two patients with rectal cancer who were admitted to our university from March 2011 to July 2012 were selected as the observation group, who underwent rapid laparoscopic Miles operation with rapid rehabilitation measures. The retrospective comparisons were made between March 2009 and July 2010 82 patients with rectal cancer served as the control group underwent conventional laparotomy. The recovery time of intestinal function, hospitalization days and postoperative complications (infection, obstruction, hemorrhage, etc.) were compared between the two groups. Results The operation of the two groups of patients were carried out smoothly, the observation group without transit laparotomy. There was significant difference between the two groups in the recovery time of intestinal function and hospitalization days (P <0.05). There was no significant difference in postoperative complication (P> 0.05). Conclusion The application of rapid rehabilitation in Miles operation for laparoscopic rectal cancer is safe and effective.