Influence of the concept of fast track surgery on clinical effect,anal dynamics and living quality in treatment of low retcal cancer anus saving patients
10.3969/j.issn.1005-6483.2018.05.009
- VernacularTitle:加速康复外科理念对低位直肠癌保肛术后病人的临床疗效、肛门动力学及生活质量的影响
- Author:
Guanghua LI
1
;
Jian SUN
;
Shuo WANG
Author Information
1. 110016,辽宁省沈阳市人民医院普外科
- Keywords:
fast track surgery;
low retcal cancer;
anus preservation operation;
anal dy-namics
- From:
Journal of Clinical Surgery
2018;26(5):346-348
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the influence of fast track surgery on clinical effect,anal dynamics and living quality in treatment of low retcal cancer anus saving patients.Methods Screening 100 cases of low retcal cancer anus saving patients as research subjects.According to a random number ta-ble method,100 cases were divided into twe group:study group(50 cases)and control group(50 cases). Patients in control group were given traditional perioperative treatment,and patients in study group were given FTS perioperative treatment,then the two groups were compared in terms of the clinical effect and a-nal dynamics.Results There was no statistically significant difference in operation time between the two groups(P>0.05).The Intraoperative blood loss of study group and control group were(221.4 ± 93.1)ml and(263.2 ± 76.4)ml(P<0.05),first exhaust time after operation of the two group were(3.7 ± 0.6)d and(5.6 ± 0.8)d(P<0.05),intraoperative infusion volume of the two group were(2261.5 ± 670.2)ml and(2574.2 ± 635.0)ml(P<0.05),hospital stay after operation of the two group were(8.5 ± 2.1)d and (13.2 ± 2.0)d(P<0.05),first feeding time of the two group were(4.1 ± 1.2)d and(6.6 ± 1.8)d(P<0.05).The postoperative complication rate in study group(18.0%)was lower than the control group (36.0%)(P<0.05);3 months after operation,the anal function good rate of the two group were 74.0%and 54.0%(P<0.05),anal maximum systolic blood pressure,anus maximum resting pressure,static vec-tor volume and contraction vector volume of study group were(245.2 ± 20.1)mmHg,(165.0 ± 17.3) mmHg,(32792.4 ± 3887.6)cm(mmHg)2and(68647.5 ± 2865.3)cm(mmHg)2),respectively.While in control group were(189.5 ± 18.5)mmHg、(88.9 ± 16.8)mmHg、(28986.6 ± 3946.8)cm(mmHg)2and(43462.9 ± 3013.0)cm(mmHg)2),respectively(P<0.05).The score of FACT-G of one year after op-eration in in the study group were higher than the control group(P<0.05).Conclusion The fast track surgery on low retcal cancer anus saving patients has a more significant advantage,it can improve clinical effect,reduce the postoperative complication rate and improve the anal dynamics,thus it is worthy of cini-cal promotion.
