文章摘要
丁文斌,倪创业,壮 麟,詹传飞,张 杰,饶建华,张 峰.术后不放置腹腔引流管在肝癌切除手术患者加速康复外科中的应用[J].南京医科大学学报,2016,(3):365~367
术后不放置腹腔引流管在肝癌切除手术患者加速康复外科中的应用
Experience of nonuse of abdominal drainage under ERAS in patients with hepatocellular carcinoma
投稿时间:2015-11-05  
DOI:10.7655/NYDXBNS20160323
中文关键词: 加速康复外科  腹腔引流术  肝癌  肝切除术
英文关键词: enhanced recovery after surgery  abdominal drainage  hepatocellular carcinoma  hepatectomy
基金项目:江苏省博士后科研资助(1102046C)
作者单位
丁文斌 南京医科大学第一附属医院肝脏外科/肝脏移植中心,国家卫生和计划生育委员会活体肝移植重点实验室,江苏 南京 210029 
倪创业 南京医科大学第一附属医院肝脏外科/肝脏移植中心,国家卫生和计划生育委员会活体肝移植重点实验室,江苏 南京 210029 
壮 麟 南京医科大学第一附属医院肝脏外科/肝脏移植中心,国家卫生和计划生育委员会活体肝移植重点实验室,江苏 南京 210029 
詹传飞 南京医科大学第一附属医院肝脏外科/肝脏移植中心,国家卫生和计划生育委员会活体肝移植重点实验室,江苏 南京 210029 
张 杰 南京医科大学第一附属医院肝脏外科/肝脏移植中心,国家卫生和计划生育委员会活体肝移植重点实验室,江苏 南京 210029 
饶建华 南京医科大学第一附属医院肝脏外科/肝脏移植中心,国家卫生和计划生育委员会活体肝移植重点实验室,江苏 南京 210029 
张 峰 南京医科大学第一附属医院肝脏外科/肝脏移植中心,国家卫生和计划生育委员会活体肝移植重点实验室,江苏 南京 210029 
摘要点击次数: 470
全文下载次数: 473
中文摘要:
      目的:观察通过术后不放置腹腔引流管对肝癌切除手术患者快速康复的影响。方法:将113例行肝癌切除治疗的患者随机分为实验组52例,术后不放置腹腔引流管;对照组61例,术后常规放置腹腔引流管。观察两组患者术后肝功能恢复,术后肛门排气?排便时间,住院天数,住院费用及术后并发症的情况。结果:实验组术后肛门排气?排便时间,住院天数,住院费用与对照组相比明显降低,差异有统计学意义(P < 0.05);实验组术后肝功能与对照组相比,差异无统计学意义(P > 0.05);两组术后并发症发生率相比,差异无统计学意义(P > 0.05)。结论:在肝癌切除手术后不放置腹腔引流管这一措施,可以加速肝癌切除手术患者的恢复进程,安全有效,在肝癌患者的加速康复外科治疗中发挥了积极作用。
英文摘要:
      Objective:To analyze the effect of nonuse of abdominal drainage in post hepatectomy of liver cancer. Methods:One hundred and thirteen patients who received resection of liver cancer were randomly designated to either experimental group (52 cases) or control group (61 cases). In the experimental group, the patients were not allowed to place the abdominal drainage;however, the patients in the control group underwent the use of the abdominal drainage conventionally. We observed the recovery of liver function after surgery, the time of the postoperative recovery, the length of hospital stay, the cost of hospital admission and postoperative adverse events and complications. Results:In the experimental group, the time of the postoperative recovery and the length of hospital stay were shorter than those in the control group, moreover, the cost of hospital admission was significantly reduced compared with the control group, all the differences reached statistical significance (P < 0.05). However, there were no differences of the recovery of liver function after surgery and postoperative adverse events and complications between two groups (P > 0.05). Conclusion:To the patients, nonuse of abdominal drainage after hepatectomy surgery is safe and effective,and this measure can accelerate the postoperative recovery of these patients. This measure can play an active role in ERAS (enhanced recovery after surgery) treatment.
查看全文   查看/发表评论  下载PDF阅读器
关闭