胃癌患者术后并发症的危险因素分析

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.

Analysis of Risk Factors of Gastric Cancer Patients with Postoperative Complications

Objective: To investigate the postoperative complications of gastric cancer risk factors and prevention measures.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 pleu-ral 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.