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目的观察损伤控制和快速康复外科理念在食管癌患者围手术期的应用价值。方法回顾性分析我院自2010年择期性食管癌手术的患者60例为观察组,围手术期采用快速康复外科理念进行处理选取同期受食管癌根治术的患者40例作为观察组,围手术期按常规处理。结果研究组术后排气时间、术后拔除胸腔引流管时间、术后住院时间及住院总费用均显著低于对照组(P<0.05);观察组和对照组总并发症的发生率分别为6.7%(4/60)和12.5%(5/40),差异有统计学意义(P<0.05)。结论损伤控制和快速康复外科理念能有效的促进食管癌切除术患者的康复,减少术后并发症,在食管癌择期手术患者中应用是安全、经济、有效和可靠的围手术期方案。
Objective To observe the value of surgical management of injury control and rapid rehabilitation in the perioperative period of esophageal cancer patients. Methods A retrospective analysis of 60 cases of esophageal cancer surgery in our hospital since 2010 as the observation group, perioperative treatment with fast recovery surgery concept selected the same period by radical resection of esophageal cancer in 40 patients as the observation group, perioperative period Proceed as usual. Results The postoperative exhaust time, the time of postoperative drainage of the thoracic duct, the postoperative hospital stay and the total cost of hospitalization were significantly lower in the study group than in the control group (P <0.05). The incidences of total complications in the observation group and the control group were 6.7% (4/60) and 12.5% (5/40) respectively, the difference was statistically significant (P <0.05). Conclusion The concept of injury control and rapid rehabilitation can effectively promote the recovery of patients with esophageal cancer and reduce the postoperative complications. It is a safe, economical, effective and reliable perioperative plan for esophageal cancer patients undergoing elective surgery.