| 马春星,贺英,陈丽华,等.加速康复外科理念在腹腔镜子宫内膜癌分期术中的应用[J].安徽医药,2020,24(2):313-316. |
| 加速康复外科理念在腹腔镜子宫内膜癌分期术中的应用 |
| Application of the enhanced recovery after surgery in laparoscopic staging surgery for endometrial carcinoma |
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| DOI：10.3969/j.issn.1009?6469.2020.02.025 |
| 中文关键词: 子宫内膜肿瘤 腹腔镜检查 围手术期医护 加速康复外科 |
| 英文关键词: Endometrial neoplasms Laparoscopy Perioperative care Enhanced recovery after surgery |
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| 中文摘要: |
| 目的探讨加速康复外科理念在腹腔镜子宫内膜癌分期术中的安全性和有效性。方法选取河北北方学院附属第一医院 2016年 9月至 2018年 6月行腹腔镜子宫内膜癌全面分期术的早期子宫内膜癌病人 101例，采用随机数字表法分为观察组和对照组，观察组采用加速康复外科理念( ERAS)处理，对照组采用传统围手术期处理，对两组手术指标及临床指标进行比较。结果两组在手术时间、术中出血量、淋巴结清扫个数、术后短期并发症等方面差异无统计学意义( P＞0.05)，观察组肛门恢复通气时间( 2.22±0.37)d、术后住院时间( 5.55±1.39)d较对照组( 2.41±0.39)d、(6.34±1.83)d明显缩短( P＜0.05)；观察组炎症反应水平( CRP)(229.78±72.92)mg/L较对照组( 302.90±88.88)mg/L明显降低( P＜0.05)。结论加速康复外科理念在腹腔镜镜子宫内膜癌分期术中应用是安全有效的。 |
| 英文摘要: |
| Objective To investigate the safety and efficacy of enhanced recovery after surgery(ERAS)in laparoscopic staging sur? gery for endometrial cancer.Methods A hundred and one patients with early endometrial cancer who underwent laparoscopic stag?ing surgery from September 2016 to June 2018 in The First Affiliated Hospital of Hebei North University were randomly assignedinto the ERAS treatment group and the traditional perioperative treatment group in this study，and the surgical and clinical indica? tors were compared.Results There were no significant differences in operation time，intraoperative blood loss，number of lymph node dissection and postoperative short?term complications between the two groups(P＞0.05)，but the time for recuperation of anus［(2.22±0.37)vs.(2.41±0.39)d］and postoperative hospital stay［(5.55±1.39)vs.(6.34±1.83)d］were significantly shortened(P＜0.05).Meanwhile，the level of C?reactive protein(CRP)［( 229.78±72.92)mg/L vs.(302.90±88.88)mg/L］was significantly de? creased(P＜0.05).Conclusion The ERAS is safe and effective in the laparoscopic staging surgery for endometrial carcinoma. |
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