老年胃癌患者根治性全胃切除的危险因素分析  

Risk factors for elderly patients undergoing total gastrectomy for gastric cancer

作　　者：赵刚[1] 万进[1] 吴泽宇[1] 杜嘉林[1] 彭林[1] 刘全芳[1] 姚远[1] 王志度[1] 杨珏[1] 

机构地区：[1]广东省人民医院普外科,广州市510080

出　　处：《实用医学杂志》2007年第12期1844-1846,共3页The Journal of Practical Medicine

摘　　要：目的:分析影响老年胃癌患者根治性全胃切除的危险因素。方法:对1996年8月至2006年8月60岁以上的166例老年胃癌行根治性全胃切除患者的资料进行回顾性分析,确定影响老年胃癌患者根治性全胃切除的危险因素。结果:术前有并存疾病、血红蛋白≤80g/L、白蛋白≤35g/L、体重指数≤18.5kg/m2、术中失血量≥1000mL、手术时间≥5h、联合脏器切除(脾/胰体尾切除)是老年胃癌患者根治性全胃切除的危险因素,发生死亡的相对危险度分别为1.59、1.84、3.17、4.33、2.31、2.18、3.80,发生并发症的相对危险度分别为1.62、1.99、2.33、2.12、2.45、1.56、3.71。结论:老年胃癌患者行根治性全胃切除时应综合考虑上述危险因素,以提高手术的安全性。To analyze the risk factors of elderly patients undergoing total gastrecomy for gastric cancer. Method The data on a total of 166 elderly patients who had undergone total gastreetomy for gastric cancer from August 1996 to August 2006 were retrospectively analyzed to identify the risk factors for the elderly receiving such procedure. Results The risk factors included coexistent diseases, hemoglobin level equal or less than 80 g/L, albumin level equal or less than 35 g/L, body mass index equal or less than 18.5 kg/m^2, intraoperative blood loss equal or greater than 1 000 mL, duration of operation equal or longer than 5 h, and combined resection with the spleen or pancreas. The relative risk was 1.59, 1.84, 3.17, 4.33, 2.31, 2.18, and 3.80 for hospital death, and 1.62, 1.99, 2.33, 2.12, 2.45, 1.56, and 3.71 for postoperative complications correspondingly. Conclusion The risk factors for elderly patients with total gastrecomy for gastric cancer should be considered carefully during the perioperative period to increase the safety of the procedure.

关 键 词：胃肿瘤 老年人 全胃切除 危险因素 

分 类 号：R735.2[医药卫生—肿瘤]