影响胃癌全胃切除术术后并发症的相关因素的Logistic回归分析  

Logistic analysis of relevant factors for postoperative complications of total gastrectomy on gastric carcinoma

作　　者：陈国平[1] 陈剑明[1] 

机构地区：[1]福建省福州市第二医院普通外科,福建福州350007

出　　处：《中国现代医生》2012年第26期28-30,共3页China Modern Doctor

摘　　要：目的探讨影响胃癌患者全胃切除术后发生并发症的相关因素。方法 2007年1月～2011年12月,共有328例胃癌患者在我院行全胃切除术。所有患者随访4个月～5年,分析其临床资料,探讨发生并发症的相关因素。结果患者的年龄、白细胞、白蛋白、肿瘤大小、术中失血量、手术方式、是否具有合并症及心血管疾病、糖尿病、肝硬化、营养不良、术中输血是发生术后并发症的相关因素。经胸腹联合手术、联合脏器切除、术中失血量、合并症为术后发生并发症的危险因素,而术中输血及白蛋白水平是保护因素。结论影响全胃切除术后并发症发生的独立危险因素有胸腹联合手术、联合脏器切除、术中失血量、合并症。Objective To discuss relevant factors for postoperative complications of total gastrectomy on gastric carcinoma. Methods Form Jan 2007 to Dec 2011,328 cases with astric carcinoma treated by total gastrectomy in our hospital. Fol- lowed up 4 months to 5 years, clinical data were analyzed to discuss the relevant factors for postoperative complications. Results Age, WBC level, albuminous level, tumor size, intraoperatie bleeding, surgical procedures, complications, ardiovas- cular disease,diabetes,cirrhosis malnutrition,intraoperative transfusion were relevant factors for postoperative complica- tions.Transabdomen combined thoracic operation,combined organ resection,preoperative complications and intraoperatie bleeding were risk factors, and intraoperative transfusion, albuminous level were protective factors. Conclusion Independent risk factors for postoperative complications of total gastrectomy were transabdomen combined thoracic operation,combined organ resection,preoperative complications and intraoperatie bleeding.

关 键 词：胃癌 全胃切除术 回归分析 LOGISTIC 

分 类 号：R735.2[医药卫生—肿瘤]