CAJ | 학술논문

目的：分析经腹全胃切除术后并发症的影响因素，为预防与治疗术后并发症提供依据。方法：回顾性分析2002年1月～2011年12月间两所医院行经腹全胃切除术患者的病例资料，根据有无并发症分为并发症组和非并发症组，分析术后并发症的危险因素。结果：经腹全胃切除1016例，住院期间有并发症154例（发生率为15．2％）。多因素Logistic回归分析表明：年龄高（ OR＝1．741，95％ CI：1．182～2．565）、手术时间长（OR＝2．114，95％CI：1．467～3．054）和术前有合并症（OR＝1．501，95％ CI：1．024～2．201）与经腹全胃切除术后是否发生并发症有统计学意义（P＜0．05）。结论：高龄、手术持续时间长和术前存在合并症可能是经腹全胃切除术后发生并发症的影响因素。
목적：분석경복전위절제술후병발증적영향인소，위예방여치료술후병발증제공의거。방법：회고성분석2002년1월～2011년12월간량소의원행경복전위절제술환자적병례자료，근거유무병발증분위병발증조화비병발증조，분석술후병발증적위험인소。결과：경복전위절제1016례，주원기간유병발증154례（발생솔위15．2％）。다인소Logistic회귀분석표명：년령고（ OR＝1．741，95％ CI：1．182～2．565）、수술시간장（OR＝2．114，95％CI：1．467～3．054）화술전유합병증（OR＝1．501，95％ CI：1．024～2．201）여경복전위절제술후시부발생병발증유통계학의의（P＜0．05）。결론：고령、수술지속시간장화술전존재합병증가능시경복전위절제술후발생병발증적영향인소。
Objective:To analyze the factors associated with postoperative complications in patients following transabdominal total gastrectomy for prevention and management of such incidence.Methods:1 016 consecu-tive patients undergone transabdominal total gastrectomy in between Jan . 2002 and Dec.2011 were included, and case data were retrospectively analyzed for the risk factors associated with postoperative complications on the occurrence and non-occurrence group basis.Results:Complications occurred in 154 of the total 1 016 cases following transabdominal total gastrectomy during hospital stay(15.2%).Multiple logistic regression a-nalysis indicated that older age(OR=1.741,95% CI:1.182 -2.565), longer operation time(OR=2.114,95% CI:1.467-3.054) and history of complications before operation(OR=1.501,95% CI:1.024-2.201) were statistically significant with the occurrence of complications ( P <0.05).Conclusion:Older age, longer hours of procedure and presence of preoperative complications may be risks for complications in patients fol-lowing transabdominal total gastrectomy.