老年胃癌患者术后严重并发症的相关因素分析  

Analysis of Related Factors of Postoperative Severe Complications in Elderly Patients with Gastric Cancer

作　　者：周立宇[1] 孙立波[1] 李永超[1] 丁大勇[1] 舒振波[1] 郑泽霖[1] 

机构地区：[1]吉林大学中日联谊医院胃肠外科,吉林长春130033

出　　处：《中国普外基础与临床杂志》2011年第6期639-642,共4页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：目的探讨影响老年胃癌患者术后严重并发症的主要因素。方法回顾性分析2003年1月至2008年12月期间在吉林大学中日联谊医院接受手术治疗的老年胃癌患者202例,以术后是否发生并发症及严重程度分为有和无严重并发症组,分别从临床因素和实验室检查两方面分析老年胃癌患者术后出现严重并发症的相关因素。结果在临床指标中,术前有并存症、行全胃切除、术中出血量≥800 ml、术中输血量以及联合脏器切除与手术后严重并发症相关(P<0.05)。实验室检查指标中,术前血清白蛋白值及术后第1天血糖值与手术后严重并发症相关(P<0.05)。结论术前有并存疾病、低蛋白血症以及扩大根治手术是老年胃癌患者术后出现严重并发症的危险因素。Objective To analyze the related risk factors of influencing on postoperative severe complications（PSC） in elderly patients with gastric cancer.Methods Altogether 202 cases of elderly patients with gastric cancer who received surgical treatment between January 2003 and December 2008 in this hospital were analyzed.On the basis of the degree of complications,the patients were divided into the group with PSC and the group without PSC.The relevant clinical and laboratory data were evaluated,and compared with statistical analysis.Results Clinically the preoperative comorbidity,total gastrectomy,more than 800 ml intraoperative blood loss,intraoperative transfusion,and combined organ resection were significantly correlated with PSC（P0.05）.In laboratory data,the lower preoperative serum albumin and the blood glucose level on the first day after operation were significantly correlated with PSC（P0.05）.Conclusion The preoperative comorbidity,lower serum albumin,and extended radical resection are the danger factors leading to PSC.

关 键 词：老年 胃癌 术后并发症 

分 类 号：R735.2[医药卫生—肿瘤] R656.61[医药卫生—临床医学]