胃癌根治术的危险因素分析  

Risk factor of curative surgery for gastric cancer

作　　者：石欣[1,2] 吴涛[1,2] 

机构地区：[1]南京铁道医学院附属医院普外科 [2]济南铁路中心医院外二科

出　　处：《中国普通外科杂志》1999年第1期32-34,共3页China Journal of General Surgery

摘　　要：目的调查与胃癌根治术有关的危险因素。方法对１９９２年１月～１９９８年３月入院的３７４例行胃癌根治术的病人进行统计分析，调查可能导致住院期死亡和手术并发症的因素。结果年龄＞６５岁、术前白蛋白＜３５ｇ／Ｌ、血红蛋白＜８０ｇ／Ｌ、腹水量＞３００ｍｌ、有合并症、联合切除脾／胰、手术方式为全胃切除术等７个因素是胃癌根治术的危险因素。结论在准备胃癌根治术时，以上危险因素应仔细考虑，有目的地控制以上因素可以降低胃癌根治术的并发症发生率，减少病死率。Objective To investigate the risk factors of curative surgery for gastric cancer. Methods Three hundred and seventy four patients who underwent curative surgery for gastric cancer from January 1992 to March 1998 were respectively analysed for the risk factors of hospital death and postoperative complications. Results The risk factors included ages greater than 65 years, albumin lower than 35g/L, hemoglobin lower than 80g/L, ascites more than 300ml, accompanied with other diseases, combined resection of spleen or pancreas and total gastrectomy. Conclusions These risk factors should be considered carefully when we plan a surgery; controlling these factors properly may reduce the postoperative complications and hospital death rate after curative surgery for gastric cancer.

关 键 词：胃肿瘤 外科手术 胃切除 危险因素 

分 类 号：R735.205[医药卫生—肿瘤] R656.61[医药卫生—临床医学]