CAJ | 학술논문

目的探讨影响结直肠癌患者围手术期死亡的危险因素.方法回顾性分析545例结直肠癌手术患者的临床资料.选取17种可能影响结直肠癌围手术期死亡的相关因素进行分析.计数资料采用x2检验,对单因素分析差异有统计学意义的指标再进行多因素Logistic回归分析,分析影响结直肠癌患者围手术期死亡的独立危险因素.结果影响围手术期死亡的6个独立危险因素是术后并发症、手术方式、非计划再次手术、术前电解质紊乱、术前低蛋白血症、年龄.结论导致结直肠癌患者围手术期死亡是多因素作用的结果.
목적 탐토영향결직장암환자위수술기사망적위험인소.방법 회고성분석545례결직장암수술환자적림상자료.선취17충가능영향결직장암위수술기사망적상관인소진행분석.계수자료채용x2검험,대단인소분석차이유통계학의의적지표재진행다인소Logistic회귀분석,분석영향결직장암환자위수술기사망적독립위험인소.결과 영향위수술기사망적6개독립위험인소시술후병발증、수술방식、비계화재차수술、술전전해질문란、술전저단백혈증、년령.결론 도치결직장암환자위수술기사망시다인소작용적결과.
Objective To investigate the potential risk factors for the death of patients with colorectal cancer during perioperative periods.Methods The clinical data of 545 patients with colorectal cancer were analyzed retrospectively.17 factors,which may influence mortality of patients with colorectal cancer during perioperative periods were evaluated.These enumeration data were analyzed with x2 test,then those factors with obvious difference in statistics were further analyzed by multi-factor Logistic regression analysis.The independent risk factors affecting the mortality of patients with colorectal cancer during perioperative periods were obtained from the analysis.Results There were 6 independent risk factors derived that had significant impacts on perioperative death that were postoperative complications,operation method,non-planed reoperation,preoperative electrolyte disturbance,preoperative hypoalbuminemia,and age(P ＜ 0.05).Conclusions Many potential factors could affect perioperative mortality of patients with colorectal cancer undergoing surgical procedure.