胃癌患者术后并发症的危险因素分析  

Analysis of Risk Factors of Gastric Cancer Patients with Postoperative Complications

作　　者：顾群浩[1] 张晓东[1] 蔡照弟[1] 朱晓明[1] 陈徽[1] 罗振林[1] 冯寿全[1] 

机构地区：[1]上海中医药大学附属岳阳中西医结合医院胃肠外科,上海200437

出　　处：《现代生物医学进展》2012年第24期4666-4669,共4页Progress in Modern Biomedicine

摘　　要：目的:探讨胃癌术后并发症的危险因素及其防治措施。方法:调查117例胃癌患者手术治疗前后的临床资料,并对术后发生并发症可能的危险因素进行评估、分析。结果:胃癌术后并发症包括切口感染、肺部感染或胸腔积液、腹腔感染、肠梗阻、吻合口瘘,发生率为35.04%(41/117),手术方式、手术时间、胃管留置时间、术后生活习惯与手术后并发症相关(P<0.05)。结论:胃癌术后并发症由多种原因综合引起,除患者素质和病变因素外,6个危险因素依次为:行全胃切除、D2清扫、手术时间>4h、术中出血量≥800mL、胃管留置时间>3d、长期吸烟,应重视其围手术期处理。Objective： To investigate the postoperative complications of gastric cancer risk factors and prevention measures. Methods： The clinical data before and after thc surgical treatment of 117 patients with gastric cancer were analyzed, and the possible risk factors of postoperative pulmonary complications wcrc assessed. Results： Gastric Complications included wound infection, lung infection or pleu- ral effusion, abdominal infection, bowel obstruction, anastomotic leak, the rate was 35.04% （41/117）. Surgical approach, operative time, tube indwelling time, and the postoperative living habits had correlation with the postoperative complications （P 〈0.05）, Conclusions： The postoperative complications of gastric cancer were comprehensively caused by a variety of reasons. Besides the patients＇ quality and lesion factors, the six risk factors were： row total gastrectomy, D2 dissection, operative time〉 4h, intraopcrative blood loss ≥ 800mL, stomach tube indwelling time〉 3d, long-term smoking. It is necessary to pay attention to perioperative management.

关 键 词：胃癌 术后并发症 危险因素 回归分析 

分 类 号：R735.2[医药卫生—肿瘤]