岭南现代临床外科
嶺南現代臨床外科
령남현대림상외과
LINGNAN MODERN CLINICS IN SURGERY
2015年
2期
159-162
,共4页
老年%胃癌%术后并发症
老年%胃癌%術後併髮癥
노년%위암%술후병발증
Elderly%Gastric cancer%Postoperative Complications
目的:探讨老年胃癌患者术后并发症的相关因素。方法回顾性地分析中国石油乌鲁木齐石油化工总厂职工医院外一科2004年1月~2014年12月接受手术治疗并经病理确证为胃癌的老年患者57例,分析术后并发症情况及老年胃癌患者术后并发症的危险因素。结果本组57例行胃癌手术患者中,并发症发生18例,并发症发生率为31.6%,其中切口感染3例(5.3%),吻合口瘘2例(3.5%),切口开裂2例(3.5%),肺部感染3例(5.3%),十二指肠残端瘘1例(1.8%)。炎性肠梗阻3例,残胃无力1例,腹腔感染2例,吻合口出血1例。经分析显示,术前合并症、肿瘤直径、发病年龄及手术时间与老年胃癌患者术后并发症发生有明显关系(P<0.05)。结论老年胃癌患者因年龄和疾病因素,术后并发症也随之增加,基层医院应重视老年胃癌患者围手术期的观察和处理。
目的:探討老年胃癌患者術後併髮癥的相關因素。方法迴顧性地分析中國石油烏魯木齊石油化工總廠職工醫院外一科2004年1月~2014年12月接受手術治療併經病理確證為胃癌的老年患者57例,分析術後併髮癥情況及老年胃癌患者術後併髮癥的危險因素。結果本組57例行胃癌手術患者中,併髮癥髮生18例,併髮癥髮生率為31.6%,其中切口感染3例(5.3%),吻閤口瘺2例(3.5%),切口開裂2例(3.5%),肺部感染3例(5.3%),十二指腸殘耑瘺1例(1.8%)。炎性腸梗阻3例,殘胃無力1例,腹腔感染2例,吻閤口齣血1例。經分析顯示,術前閤併癥、腫瘤直徑、髮病年齡及手術時間與老年胃癌患者術後併髮癥髮生有明顯關繫(P<0.05)。結論老年胃癌患者因年齡和疾病因素,術後併髮癥也隨之增加,基層醫院應重視老年胃癌患者圍手術期的觀察和處理。
목적:탐토노년위암환자술후병발증적상관인소。방법회고성지분석중국석유오로목제석유화공총엄직공의원외일과2004년1월~2014년12월접수수술치료병경병리학증위위암적노년환자57례,분석술후병발증정황급노년위암환자술후병발증적위험인소。결과본조57례행위암수술환자중,병발증발생18례,병발증발생솔위31.6%,기중절구감염3례(5.3%),문합구루2례(3.5%),절구개렬2례(3.5%),폐부감염3례(5.3%),십이지장잔단루1례(1.8%)。염성장경조3례,잔위무력1례,복강감염2례,문합구출혈1례。경분석현시,술전합병증、종류직경、발병년령급수술시간여노년위암환자술후병발증발생유명현관계(P<0.05)。결론노년위암환자인년령화질병인소,술후병발증야수지증가,기층의원응중시노년위암환자위수술기적관찰화처리。
Objective To investigate the related factors associated with postoperative complications in elderly patients with gastric cancer. Methods A retrospective data of 57 elderly patients with gastric cancer between Jan 2004 and Dec 2014 were studied. Postoperative complications and risk factors were analyzed. Results There were 18 cases of postoperative complications in all 57 patients (31%),including wound infection in 3 cases (5.3%), anastomotic leakage 2 cases (3.5%), abdominal wound disruption 2 cases (3.5%), duodenal stump fistula one case, early postoperative inflammatory intestinal obstruction 3 cases, intra-abdominal infection 2 cases, functional gastric atony one case, anastomotic bleeding one case, lung infection 3 cases. Preoperative comorbidities , tumor size , age and operative time were correlated with postoperative complications of gastric cancer (P<0.05). Conclusion Age and disease factors were influence factors of postoperative complications; elderly patients should pay attention to the observation and treatment of gastric surgery around the stage.