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目的分析快速通道外科(FTS)对原发性肝癌患者腹腔镜手术围手术期的应用效果,为患者预后质量的改善提供参考依据。方法选取本院2011年8月至2015年8月收治的128例拟行腹腔镜手术的原发性肝癌患者,进行了前瞻性对照研究。按随机数字表法分为观察组、对照组,各64例,均实施传统围术期处理,观察组在此基础上加用FTS优化处理。比较两组患者手术情况、术后恢复情况及并发症发生情况,分析FTS的应用价值。结果观察组手术时间、术中出血量、住院时间、肛门排气时间、静脉输液时间、治疗费用、术后并发症发生率均低于对照组,差异有统计学意义,两组患者切口长度比较,差异无统计学意义。两组患者术后STAI评分均较术前降低,观察组降低更为明显,差异有统计学意义。结论 FTS能够缩短原发性肝癌患者腹腔镜手术时间、提高手术安全性,对患者身体状态和心理状态的早期恢复均具有积极意义,临床应用价值值得肯定。
Objective To analyze the application effect of fast-track surgery (FTS) in perioperative period of patients with primary liver cancer undergoing laparoscopic surgery and to provide reference for the improvement of prognosis quality. Methods A total of 128 patients with primary liver cancer who underwent laparoscopic surgery admitted from August 2011 to August 2015 in our hospital were prospectively controlled. According to the random number table, the patients were divided into observation group and control group, 64 cases in each group. All patients underwent traditional perioperative management. The observation group was treated with FTS. The operative conditions, postoperative recovery and complication were compared between the two groups, and the value of FTS was analyzed. Results The operation time, intraoperative blood loss, hospital stay, anal exhaust time, intravenous infusion time, treatment costs, postoperative complications were lower in the observation group than in the control group, the difference was statistically significant ,The difference was not statistically significant. The STAI scores of postoperative patients in both groups were lower than those before operation, and the scores of STAI in observation group were more obvious, the difference was statistically significant. Conclusions FTS can shorten the time of laparoscopic surgery and improve the safety of surgery in patients with primary liver cancer. It has positive significance for the early recovery of patients’ physical status and mental status, and the clinical value of the application is worthy of confirmation.