CAJ | 학술논문

目的分析胰十二指肠切除术后胃排空障碍的危险因素.方法回顾性分析中日友好医院1994年1月至2008年1月间101例胰十二指肠切除术病例,以手术后是否发生胃排空障碍为因变量,对病人临床资料进行单因素及多因素非条件Logistic回归分析.结果该组胃排空障碍发生率为27.7%(28/101),单变量分析结果表明手术方式、术中输血量、术后血糖、术后腹腔感染、术后胰胆肠瘘发生是胃排空障碍发生的危险因素.多因素Logistic回归分析结果表明,术后腹腔感染、手术方式、术中输血量、术后高血糖是胃排空障碍发生的独立危险因素,相对危险度(OR)分别为7.892、7.071、5.882和2.882.结论术后并发腹腔感染、PPPD术后、术中输血量多、术后高血糖病人易发生胃排空障碍.
목적 분석이십이지장절제술후위배공장애적위험인소.방법 회고성분석중일우호의원1994년1월지2008년1월간101례이십이지장절제술병례,이수술후시부발생위배공장애위인변량,대병인림상자료진행단인소급다인소비조건Logistic회귀분석.결과 해조위배공장애발생솔위27.7%(28/101),단변량분석결과표명수술방식、술중수혈량、술후혈당、술후복강감염、술후이담장루발생시위배공장애발생적위험인소.다인소Logistic회귀분석결과표명,술후복강감염、수술방식、술중수혈량、술후고혈당시위배공장애발생적독립위험인소,상대위험도(OR)분별위7.892、7.071、5.882화2.882.결론 술후병발복강감염、PPPD술후、술중수혈량다、술후고혈당병인역발생위배공장애.
Objective To study the risk factors for functional delayed gastric emptying(FDGE)after pancreaticoduodenectomy. Methods The clinical data of 101 cases undergoing pancreaticoduode-nectomy in our hospital from January 1994 to January 2008 were reviewed retrospectively. Results The incidence of FDGE was 27.7%(28/101). Univariate analysis showed PPPD,intraoperative blood transfusions,postoperative blood glucose, postoperative abdominal infection, postoperative pancreatic fistula and biliary fistula and intestinal fistula were the risk factors for gastric emptying after pancreati-coduodenectomy. Multivariate Logistic analysis regression revealed that postoperative abdominal infec-tion,PPPD,intraoperative blood transfusions,postoperative blood glucose were independent risk fac-tors(OR = 7. 892, 7. 071,5. 882 and 2. 882) of FDGE after pancreaticoduodenectomy. Conclusion Postoperative abdominal infection, PPPD, intraoperative blood transfusions, postoperative blood glu-cose can increase the incidence of FDGE.