中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2009年
8期
28-30
,共3页
食管肿瘤%外科手术%危险因素%死亡率
食管腫瘤%外科手術%危險因素%死亡率
식관종류%외과수술%위험인소%사망솔
Esophageal neoplasms%Surgical procedures,operative%Risk factors%Mortality
目的 探讨影响食管癌外科手术疗效的高危因素及防治措施.方法 收集手术治疗的食管癌患者3358例,并对术后近期死亡的94例患者的临床资料进行回顾性分析.结果 食管癌术后近期病死率为2.8%(94/3358),高龄、术前伴发病对术后近期病死率有显著影响(P<0.05).胸内吻合口瘘、术后心肺并发症对术后近期病死率有显著影响(P<0.05).手术方式、脾脏切除对术后近期病死率无显著影响(P>0.05).结论 胸内吻合口瘘、术后心肺并发症、高龄、术前伴发病是导致食管癌术后近期死亡的高危因素,有目的 地控制以上因素可以降低手术并发症和术后近期病死率.
目的 探討影響食管癌外科手術療效的高危因素及防治措施.方法 收集手術治療的食管癌患者3358例,併對術後近期死亡的94例患者的臨床資料進行迴顧性分析.結果 食管癌術後近期病死率為2.8%(94/3358),高齡、術前伴髮病對術後近期病死率有顯著影響(P<0.05).胸內吻閤口瘺、術後心肺併髮癥對術後近期病死率有顯著影響(P<0.05).手術方式、脾髒切除對術後近期病死率無顯著影響(P>0.05).結論 胸內吻閤口瘺、術後心肺併髮癥、高齡、術前伴髮病是導緻食管癌術後近期死亡的高危因素,有目的 地控製以上因素可以降低手術併髮癥和術後近期病死率.
목적 탐토영향식관암외과수술료효적고위인소급방치조시.방법 수집수술치료적식관암환자3358례,병대술후근기사망적94례환자적림상자료진행회고성분석.결과 식관암술후근기병사솔위2.8%(94/3358),고령、술전반발병대술후근기병사솔유현저영향(P<0.05).흉내문합구루、술후심폐병발증대술후근기병사솔유현저영향(P<0.05).수술방식、비장절제대술후근기병사솔무현저영향(P>0.05).결론 흉내문합구루、술후심폐병발증、고령、술전반발병시도치식관암술후근기사망적고위인소,유목적 지공제이상인소가이강저수술병발증화술후근기병사솔.
Objective To research the preventing and controlhng measure of esophageal cancer and the high-risk factors of influencing surgical effect. Method Retrospective collecting 3358 patients of the esophageal cancer by surgical treatment, and summaring and analysing the clinical material of the recent death of 94 cases after surgery. Results The recent surgical mortality was 2.8% (94/3358) in all of the esophageal cancer patients after surgery. The advanced age and the partner disease before surgery had significant influence to the recent surgical mortality (P <0.05). The tallies fistula in chest and the cardiopulmonary complication after surgery had unusual significant influence to the recent surgical mortality (P< 0.05). Surgery way and spleen excision had no influence to the recent surgical mortality (P > 0.05). Conclusions The tallies fistula in chest, the cardiopulmonary complication after surgery, the advanced age and the partner disease before surgery are the high-risk factors of the recent death to esophageal cancer after surgery.Purposeful controlling these factors will be possible to reduce the surgical complication and the recent surgical mortality.
