| 顾群浩张晓东蔡照弟朱晓明陈徽罗振林冯寿全.胃癌患者术后并发症的危险因素分析[J].,2012,12(24):4666-4669 |
| 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 PostoperativeComplications |
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| DOI： |
| 中文关键词: 胃癌 术后并发症 危险因素 回归分析 |
| 英文关键词: Gastric cancer Postoperative complications Dangerous factors Regression analysis |
| 基金项目: |
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| 中文摘要: |
| 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。 |
| 英文摘要: |
| Objective: To investigate the postoperative complications of gastric cancer risk factors and preventionmeasures. Methods:
The clinical data before and after the surgical treatment of 117 patients with gastric cancer were analyzed, and the possible risk factors of
postoperative pulmonary complications were assessed. Results: Gastric Complications included wound infection, lung infection or pleural
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, intraoperative blood loss ≥ 800mL,
stomach tube indwelling time> 3d, long-term smoking. It is necessary to pay attention to perioperative management. |
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