摘要： 目的·分析快速康复外科（fast track surgery，FTS）联合胸腹腔镜下食管癌根治术对老年患者的疗效，为临床应用提供依据。方法·收集2016年5月—2019年5月上海交通大学医学院附属仁济医院南院胸外科住院治疗的38例老年食管癌患者资料，按照围术期处理方法分为FTS组（19例）和对照组（19例），FTS组行FTS方法，对照组采用传统干预法；比较2组患者的术后疼痛评分、胸管及尿管留置时间、胃肠功能恢复时间、住院时间、并发症发生率等指标。结果·FTS组的术后疼痛评分明显低于对照组；2组患者在胸管［（2.9±0.9） d
vs （6.3±1.4） d］及尿管［（1.7±0.5） d
vs （5.2±1.6） d］留置时间、胃肠功能恢复时间［（2.5±0.6） d
vs （6.6±2.1） d］、住院时间［（14.7±3.1） d
vs （20.6±3.8） d］等方面，FTS组均优于对照组（均
P<0.05）。结论·FTS联合胸腹腔镜下食管癌根治术可有效缓解老年患者术后疼痛，并可缩短住院时间，加速患者康复。
关键词: 快速康复外科, 胸腹腔镜, 食管癌根治术, 老年患者 Abstract: Objective·To analyze the clinical effect of fast track surgery (FTS) combined with thoracoscopic and laparoscopic resection of esophageal cancer on elderly patients and provide evidence for clinical application.
Methods·The data of 38 elderly patients with esophageal cancer who were hospitalized in the Department of Thoracic Surgery, Renji Hospital South Campus, Shanghai Jiao Tong University School of Medicine from May 2016 to May 2019 were collected. According to the perioperative treatment method, they were divided into FTS group (19 cases) and control group (19 cases). The FTS group was treated with FTS method and the control group was treated with traditional intervention method. The postoperative pain score, retention time of thoracic duct and catheter, recovery of gastrointestinal function, hospitalization time and complications of the two groups were compared.
Results·The postoperative pain of the FTS group was significantly lower than that of the control group. The retention time of thoracic duct [(2.9±0.9) d vs (6.3±1.4) d], the retention time of catheter [(1.7±0.5) d vs (5.2±1.6) d], the recovery time of gastrointestinal function [(2.5±0.6) d vs (6.6±2.1) d] and the hospitalization time [(14.7±3.1) d vs (20.6±3.8) d] of the patients in the FTS group were shorter than those in the control group (all P<0.05).
Conclusion·FTS combined with thoracoscopic and laparoscopic esophagectomy can effectively relieve the postoperative pain of elderly patients, shorten the hospitalization time, and accelerate the recovery of patients.
Key words: fast track surgery (FTS), video-assisted thoracoscopy and laparoscopy, resection of esophageal cancer, elderly patient PDF全文下载地址:
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