腹膜后肿瘤切除术后胃排空障碍的危险因素分析  

Analysis of risk factors associated with functional delayed gastric emptying after retroperitoneal tumor resection surgery

作　　者：邹博远 刘世博 高海成 李文杰 刘文庆 唐茂盛 黄梅 罗成华[1] Boyuan Zou;Shibo Liu;Haicheng Gao;Wenjie Li;Wenqing Liu;Maosheng Tang;Mei Huang;Chenghua Luo(Department of Retroperitoneal Tumor,Peking University International Hospital,Beijing 102206,China)

机构地区：[1]北京大学国际医院腹膜后肿瘤外科,北京市102206

出　　处：《中国肿瘤临床》2023年第21期1093-1097,共5页Chinese Journal of Clinical Oncology

摘　　要：目的:探讨腹膜后肿瘤切除术后出现功能性胃排空障碍(functional delayed gastric emptying,FDGE)的危险因素。方法:回顾性分析2017年9月至2022年12月于北京大学国际医院行腹膜后肿瘤切除术后出现FDGE的患者67例(观察组),选择同期836例未出现FDGE的腹膜后肿瘤切除术患者作为对照组,调查和对比两组患者的病史及临床诊治资料,观察腹膜后肿瘤切除术后影响FDGE发生的危险因素。结果:全部患者总体术后FDGE发生率为(7.42%)。观察组存在不良精神因素(37.31%)、术前消化道梗阻(41.79%)、术后腹腔并发症(79.10%)、糖尿病(29.86%)的比例高于对照组,同时在年龄(61.85±6.11)岁、出血量(1011.94±507.30)mL方面高于对照组,差异具有统计学意义(P<0.05)。观察组术前白蛋白水平(38.22±3.75)g/L、术后白蛋白水平(30.22±3.36)g/L低于对照组,差异具有统计学意义(P<0.05)。危险因素分析显示,高龄、糖尿病、术前消化道梗阻、术中出血量、围手术期白蛋白水平、术后腹腔并发症、不良精神因素是术后发生FDGE的影响因素。结论:导致腹膜后肿瘤切除术后胃排空障碍的影响因素种类众多,应予以准确评估,制定合理、详细的预防和诊疗计划。Objective:To identify the risk factors for functional delayed gastric emptying(FDGE)after retroperitoneal tumor resection.Methods:Sixty-seven patients with postoperative FDGE after retroperitoneal tumor resection from September 2017 to December 2022 admited in Peking University International Hospital were included in the observation group,and 836 normal patients who underwent retroperitoneal tumor resection during the same period were included in the control group.Medical histories and clinical treatment data were obtained for each group and compared to identify the risk factors for FDGE after retroperitoneal tumor resection.Results:The overall incidence of postoperative FDGE was 7.42%.Factors that were significantly elevated(P<0.05)in the observation group relative to the control group included adverse mental factors(37.31%),preoperative digestive tract obstruction(41.79%),postoperative abdominal cavity complications(79.10%),diabetes(29.86%),average age of(61.85±6.11)years,and blood loss(1011.94±507.30)mL.Pre-and post-surgery albumin levels[(38.22±3.75)g/L and(30.22±3.36)g/L,respectively]were significantly reduced(P<0.05)in the observation group compared to the control group.Risk factor analyses revealed that advanced age,diabetes,preoperative digestive tract obstruction,intraoperative blood loss,perioperative albumin level,postoperative abdominal cavity complications,and adverse mental factors were correlated with postoperative FDGE.Conclusions:Diverse factors could impact the risk of FDGE after retroperitoneal tumor resection.Patients should be accurately evaluated;reasonable and detailed prevention and treatment plans should be developed.

关 键 词：腹膜后肿瘤切除术 功能性胃排空障碍 危险因素 预防 

分 类 号：R735.4[医药卫生—肿瘤]