加速康复外科对Ⅱ～Ⅲ期结直肠癌患者术后长期生存的影响
[摘要] 目的 探讨加速康复外科措施对Ⅱ～Ⅲ期结直肠癌患者术后长期生存的影响。 方法 2012年5月～2014年11月间78例Ⅱ～Ⅲ期结直肠癌患者在本院接受根治手术，其中38例患者接受加速康复外科治疗（ERAS组），其余 40例患者接受常规治疗（对照组）。比较两组患者术后长期生存。 结果 在术后3年内，对照组有16例复发，ERAS组有9例复发，ERAS组3年无瘤生存率明显优于对照组（P=0.0495）。在术后3年内，对照组有15例死亡，ERAS组有8例死亡，ERAS组3年总生存率明显优于对照组（P=0.0498）。 结论 加速康复外科措施能显著改善Ⅱ～Ⅲ期结直肠癌患者术后长期生存。
[关键词] 结直肠癌；加速康复外科；总生存期；无瘤生存期；预后
[中图分类号] R735.34 [文献标识码] B [文章编号] 1673-9701（2018）23-0042-04
The effect of enhanced recovery after surgery on postoperative long-term survival in patients of stage Ⅱ-Ⅲ colorectal cancer
CHEN Cheng TANG Chengwu
Department of Surgery， the First People"s Hospital of Huzhou City in Zhejiang Province， Huzhou 313000， China
[Abstract] Objective To investigate the effects of enhanced recovery after surgeryon the postoperative long-term survival of patients with stage Ⅱ-Ⅲ colorectal cancer. Methods From May 2012 to November 2014，78 patients with stage Ⅱ-Ⅲ colorectal cancer underwent radical operation in our hospital. Among them， 38 patients received enhanced recovery after surgery（ERAS group） and the remaining 40 patients received conventional therapy（control group）. Long-term survival was compared between the two groups. Results Within 3 years after operation， 16 cases relapsed in the control group and 9 cases relapsed in the ERAS group. The 3-year disease-free survival rate of the ERAS group was significantly better than that of the control group（P=0.0495）. Within 3 years after operation， 15 patients died in the control group and 8 patients died in the ERAS gr...
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