中国实用外科杂志

中国实用外科杂志 ›› 2010, Vol. 30 ›› Issue (02): 117-118.

• 论著 • 上一篇    下一篇

加速康复外科理念用于小肠部分切除术的研究（附19例报告）

王    刚，江志伟，鲍    扬，汪志明，黎介寿   

  1. 南京大学医学院临床学院 南京军区南京总医院普外科，江苏南京 210002
  • 出版日期:2010-02-01 发布日期:2010-03-11

  • Online:2010-02-01 Published:2010-03-11

PDF

959

摘要：

目的    探讨加速康复外科理念在小肠部分切除手术的应用价值。 方法    回顾性总结南京军区南京总医院2006年11月至2009年8月19例小肠部分切除术的临床资料, 手术均在加速康复外科围手术期理念指导下进行, 包括: 术前不长时间禁食，不行机械性肠道准备，术前口服碳水化合物进行代谢准备等。结果    19例均顺利完成手术, 手术时间（46.1±18.7）min，术中失血量（19.1±14.2） mL，切口长度（3.6±1.2）cm，术后排气时间（26.6±8.7）h，术后下床时间（9.5±5.2）h，术后住院天数（3.2±2.1） d。均顺利出院,无吻合口瘘、切口感染等并发症发生。结论    加速康复外科理念指导下的小肠部分切除术是安全、有效的方法，可明显减轻围手术期病人的应激反应, 加速病人康复。

关键词: 加速康复外科, 小肠疾病, 小肠部分切除术

Abstract:

The clinical use of fast track surgery in partial small intestinal resections        WANG Gang，JIANG Zhi-wei，BAO Yang，et al. Research Institute of General Surgery，Clinical School of Medicine Nanjing University, Nanjing Hospital of Nanjing Command of PLA，Nanjing 210002，China
Corresponding author：JIANG Zhi-wei, E-mail: surgery34@163.com
Abstract    Objective    To investigate the effectiveness and safety of using fast track surgery in partial small intestinal resections. Methods    The clinical data of 19 patients with small intestinal disease underwent partial small intestinal resections and fast track surgery (FTS) procedures at Clinical School of Medicine Nanjing University, Nanjing Hospital of Nanjing Command of PLA were analyzed retrospectively. The data included operative time, blood loss, length of incision, time for passage of flatus, postoperative hospital stay, operative complications and result of follow-up. Results    All the patients were treated by partial intestinal resections. The mean operative time was (46.1±18.7) min. Blood loss volume was (19.1±14.2) mL. Length of incision was (3.6±1.2) cm. Time for passage of flatus was (26.6±8.7) h. Time for away from the bed was (9.5±5.2) h and postoperative hospital stay was (3.2±2.1) d. No lesions were missed and no operative complications and death occurred in all patients. Conclusion    FTS could accelerate the recovery after partial small intestinal resection.

Key words: small intestinal disease, partial small intestinal resection, fast track surgery