现代中西医结合杂志
現代中西醫結閤雜誌
현대중서의결합잡지
MODERN JOURNAL OF INTEGRATED TRADITIONAL CHINESE AND WESTERN MEDICINE
2014年
12期
1261-1263,1266
,共4页
冯立%张笑萍%于丽%陶仁海%崔荣敏%刘冰
馮立%張笑萍%于麗%陶仁海%崔榮敏%劉冰
풍립%장소평%우려%도인해%최영민%류빙
食管癌%吻合器%体表面积%相关性
食管癌%吻閤器%體錶麵積%相關性
식관암%문합기%체표면적%상관성
esophageal carcinoma%anastomat models%body surface area%correlation
目的:分析吻合器使用型号与患者体表面积的关系,确定影响吻合器使用型号的有效因素,为术者准确判定吻合器使用型号提供统计学依据。方法对2009年1月-2010年12月实施手术的200例患者( A组),使用SPSS 20.0软件将吻合器型号与体表面积进行统计学分析,找出相关性;对2011年1月-2012年12月实施手术的230患者( B组),术前根据体表面积初步确定吻合器型号,手术中术者根据手术吻合区域的解剖情况先判断吻合器使用型号,如果符合统计结果的相关性结论,就可以认为该型号为适宜,如果不符合,则手术室护士协助术者共同分析影响因素,尤其在术者评估的吻合器型号大于统计的相关性结论时,更要提示术者,以便最终确定适宜的型号,保证手术顺利实施。结果在B组中,有11例手术采纳了经统计学处理后建议的吻合器型号,与术者凭主观经验决定的吻合器型号比较为较小,占病例总例数的5%;其余术者决定的吻合器型号与参考统计结论得出的结论一致。其中在采纳的11例手术中,置入吻合器抵钉座时,有4例在操作时置入抵钉座稍困难,占病例总数的2%。结论吻合器使用型号与患者体表面积之间具有相关性。在食管癌根治手术中决定吻合器使用型号时,可以参考患者的体表面积,进行分析后选择合适型号的吻合器,增加机械吻合成功率,促进患者术后顺利恢复,降低术后并发症的发生,对于高龄、病程较长、营养状况较差的患者尤其适用。
目的:分析吻閤器使用型號與患者體錶麵積的關繫,確定影響吻閤器使用型號的有效因素,為術者準確判定吻閤器使用型號提供統計學依據。方法對2009年1月-2010年12月實施手術的200例患者( A組),使用SPSS 20.0軟件將吻閤器型號與體錶麵積進行統計學分析,找齣相關性;對2011年1月-2012年12月實施手術的230患者( B組),術前根據體錶麵積初步確定吻閤器型號,手術中術者根據手術吻閤區域的解剖情況先判斷吻閤器使用型號,如果符閤統計結果的相關性結論,就可以認為該型號為適宜,如果不符閤,則手術室護士協助術者共同分析影響因素,尤其在術者評估的吻閤器型號大于統計的相關性結論時,更要提示術者,以便最終確定適宜的型號,保證手術順利實施。結果在B組中,有11例手術採納瞭經統計學處理後建議的吻閤器型號,與術者憑主觀經驗決定的吻閤器型號比較為較小,佔病例總例數的5%;其餘術者決定的吻閤器型號與參攷統計結論得齣的結論一緻。其中在採納的11例手術中,置入吻閤器牴釘座時,有4例在操作時置入牴釘座稍睏難,佔病例總數的2%。結論吻閤器使用型號與患者體錶麵積之間具有相關性。在食管癌根治手術中決定吻閤器使用型號時,可以參攷患者的體錶麵積,進行分析後選擇閤適型號的吻閤器,增加機械吻閤成功率,促進患者術後順利恢複,降低術後併髮癥的髮生,對于高齡、病程較長、營養狀況較差的患者尤其適用。
목적:분석문합기사용형호여환자체표면적적관계,학정영향문합기사용형호적유효인소,위술자준학판정문합기사용형호제공통계학의거。방법대2009년1월-2010년12월실시수술적200례환자( A조),사용SPSS 20.0연건장문합기형호여체표면적진행통계학분석,조출상관성;대2011년1월-2012년12월실시수술적230환자( B조),술전근거체표면적초보학정문합기형호,수술중술자근거수술문합구역적해부정황선판단문합기사용형호,여과부합통계결과적상관성결론,취가이인위해형호위괄의,여과불부합,칙수술실호사협조술자공동분석영향인소,우기재술자평고적문합기형호대우통계적상관성결론시,경요제시술자,이편최종학정괄의적형호,보증수술순리실시。결과재B조중,유11례수술채납료경통계학처리후건의적문합기형호,여술자빙주관경험결정적문합기형호비교위교소,점병례총례수적5%;기여술자결정적문합기형호여삼고통계결론득출적결론일치。기중재채납적11례수술중,치입문합기저정좌시,유4례재조작시치입저정좌초곤난,점병례총수적2%。결론문합기사용형호여환자체표면적지간구유상관성。재식관암근치수술중결정문합기사용형호시,가이삼고환자적체표면적,진행분석후선택합괄형호적문합기,증가궤계문합성공솔,촉진환자술후순리회복,강저술후병발증적발생,대우고령、병정교장、영양상황교차적환자우기괄용。
Objective It is to analyze the relationship between anastomat models and patients ’ body surface area in esoph-ageal carcinoma surgery , and determine the effective factors of anastomat models choice , provide statistical basis for operator to accurately determine anastomat models .Methods The relationship between anastomat models and patients ’ body surface area in esophageal carcinoma surgery were analyzed by SPSS 20.0 software for 200 patients with esophageal carcinoma surgery ( group A ) from January 2009 to December 2010 .The anastomat models were determined based on patients ’ body surface area before surgery for 230 surgical patients (group B) from January 2011 to December 2012.The anastomat models were deter-mined according to the anatomy of anastomosis operation area .If the statistical result accorded with the correlation conclusion so approved the type is appropriate , if inconformity , the operating room nurses gave assistance to operator to analyze affecting factors.Especially in the operator select anastomat models was greater than the statistical correlation of the assessment conclu -sion, the nurse should remind the operator , so that selected the appropriate type to ensure the operation completed successful-ly.Results There were 11 cases took the advice after statistical analysis of anastomat models in group B .anastomat models was smaller than the operator decided by subjective experience , accounted for 5%of the total .The other anastomat models de-cided by operator were consistented with the statistical conclusion .In the 11 cases, there were 4 cases during operation in sta-pling arrival of the nail seats was a bit difficult , accounting for 2%of the total number of cases .Conclusion There is signifi-cant correlation between anastomat models and patients ’ body surface .Anastomat models can decide by patient's body surface area .Choose the right type of anastomat after analyzing can increase the success rate of mechanical anastomosis , promote post-operative recovery , reduce postoperative complications;it is particularly useful for patients of older , longer course of disease , with poor nutritional status .