肺癌微创手术术后并发症发生的影响因素分析  

Analysis of Factors Influencing Postoperative Complications of Lung Cancer Treated with Minimally Invasive Surgery

作　　者：耿耿[1] 陈荣林[1] 李勇[1] 

机构地区：[1]安徽省芜湖市第二人民医院,241000

出　　处：《实用癌症杂志》2014年第5期544-546,共3页The Practical Journal of Cancer

摘　　要：目的探讨肺癌微创手术切除术后,患者发生并发症的相关影响因素。方法所选53例肺癌患者均应用电视胸腔镜辅助进行肺癌切除术治疗。回顾性分析患者的临床资料,统计患者并发症发生情况,并应用单因素及多因素Logistic分析微创手术行肺癌切除术后,患者发生并发症的相关影响因素。结果 53例患者术后出现并发症10例,发生率为18.87%。单因素分析显示,肺癌微创手术后发生并发症与年龄、FEV1%、吸烟指数、合并冠心病与糖尿病有关,而与其他合并症、手术时间、手术类型、性别无关。经Logistic多因素筛选后分析,70岁以上、FEV1%≤60%、合并冠心病为肺癌微创手术后发生并发症的独立危险因素。结论 70岁以上、FEV1%≤60%、合并冠心病的肺癌患者,在微创手术后好发术后并发症,围手术期内应对上述患者进行危险评估并提供积极的干预。Objective To explore influnece factors of postoperative complications of lung cancer treated with minimally invasive resection .Methods 53 cases of lung cancer patients received video-assisted thoracoscopic lung resection .Clinical data of patients and complications were retrospectively analyzed ,univariate and multivariate logistic regression were used to analyze in-flunece factors of postoperative complications of lung cancer treated with minimally invasive resection .Results In the 53 pa-tients,there had 10 cases of postoperative complications ,the incidence rate was 18.87%.Univariate analysis showed that postop-erative lung complications were related with age ,FEV1%,smoking index ,coronary heart disease and diabetes ,but not related with other complications,operative time,type of surgery and gender.Multivariate logistic analysis showed that over 70,FEV1% ≤60%,coronary heart disease were independent risk factors for complications after minimally invasive lung surgery .Conclusion Lung cancer patients who are over 70,FEV1%≤60%,and with coronary heart disease ,are prone to postoperative complications after treated with minimally invasive surgery ,and in the perioperative period should provide patients with risk assessment and pos -itive intervention .

关 键 词：胸腔镜手术 肺癌 术后并发症 影响因素 

分 类 号：R734.2[医药卫生—肿瘤]