全胸腔镜下与常规开胸肺叶切除围手术期并发症的回归分析  

All thoracoscopic and conventional thoracotomy lobectomy in peri operation period of regression analysis of complications

作　　者：卞洪谅[1] 苏志勇[1] 

机构地区：[1]内蒙古赤峰学院附属医院胸外科,内蒙古赤峰024005

出　　处：《世界最新医学信息文摘》2015年第5期95-96,141,共3页World Latest Medicine Information Electronic Version

摘　　要：目的分析肺叶切除淋巴结清扫治疗非小细胞肺癌患者围手术期并发症与患者术前一般情况及术式选择之间的联系,并对如何减少围手术期并发症进行探讨。方法通过整理肺叶切除患者的病例,分析术后并发症与患者术前一般情况、肺功能指标、手术方式之间的关系。结果患者术前肺功能指标FEV1、FEV1/FVC实测值和预计值的比值与患者术后并发症发生率的关系较大。术前FEV1实/预的值>80%时患者术后并发症的风险是其≤80、>55%时的3.774倍。术前FEV1/FVC实/预的值每降低一个等级,术后并发症风险增加3.954倍。结论非小细胞肺癌患者肺叶切除围手术期并发症的发生率与术前肺功能FEV1占预计值%、FEV1/FVC呈负相关。Objective To analyze the correlations of lobectomy lymphadenectomy treatment of non_small cell lung cancer patients ,between general situation and surgery complications, and discusse how to reduce perioperative complications. Meth-ods analyzing the cases of undergraduated lobectomy treatment,we Compared the patients of complications group with uncompli_cated group in preoperative data. Regression analyzed the correlation of the complications with preoperative data. Results there are larger relationships between preoperative lung function FEV1%, FEV1/FVC with the possibility of postoperative complica_tions. When preoperative FEV1%> 80% ,the risk of postoperative complications is 3.774 times than its when≤80 and > 55% . Preoperative FEV1/FVC reduced by one for each pre_grade, 3.954_fold increased the risk of postoperative complications. Con-clusion The complications rate of non_small cell lung lobectomy perioperative is negatively correlated with preoperative lung function FEV1 percentage of predicted value, FEV1/FVC.

关 键 词：非小细胞肺癌 胸腔镜 肺功能 肺叶切除 

分 类 号：R734.2[医药卫生—肿瘤]