中华实验外科杂志
中華實驗外科雜誌
중화실험외과잡지
Chinese Journal of Experimental Surgery
2015年
11期
2851-2853
,共3页
全腔镜%食管癌%肺部并发症%外科技术
全腔鏡%食管癌%肺部併髮癥%外科技術
전강경%식관암%폐부병발증%외과기술
Full mirrors%Esophageal cancer%Pulmonary complications%Surgery
目的 探讨70岁以上老年食管癌患者全腔镜手术切除后影响肺部并发症的相关因素.方法 统计在我院接受全腔镜手术治疗的360例70岁以上老年食管癌患者的年龄、性别、吸烟指数、手术时间、学习曲线、合并内科疾病、病理分期和喉返神经损伤等临床资料,分析可能影响术后肺部并发症的相关因素.结果 本组患者围手术期死亡率为0.28％ (1/360).术后肺部并发症发生率为5.83％ (21/360),包括肺部感染、肺不张、脓胸、呼吸衰竭等.术后影响肺部并发症的相关因素包括年龄(x2=3.941,P＜0.05)、吸烟指数(x2=6.225,P＜0.05)、手术时间(x2=4.312,P＜0.05)、学习曲线(x2=6.372,P＜0.05)、两种及以上内科合并症(x2=4.251,P＜0.05)和术后喉返神经损伤(x2 =49.015,P＜0.01).结论 影响全腔镜下食管癌根治术围手术期肺部并发症的相关因素包括年龄、吸烟指数、手术时间、学习曲线、两种及以上内科合并症和术后喉返神经损伤.
目的 探討70歲以上老年食管癌患者全腔鏡手術切除後影響肺部併髮癥的相關因素.方法 統計在我院接受全腔鏡手術治療的360例70歲以上老年食管癌患者的年齡、性彆、吸煙指數、手術時間、學習麯線、閤併內科疾病、病理分期和喉返神經損傷等臨床資料,分析可能影響術後肺部併髮癥的相關因素.結果 本組患者圍手術期死亡率為0.28％ (1/360).術後肺部併髮癥髮生率為5.83％ (21/360),包括肺部感染、肺不張、膿胸、呼吸衰竭等.術後影響肺部併髮癥的相關因素包括年齡(x2=3.941,P＜0.05)、吸煙指數(x2=6.225,P＜0.05)、手術時間(x2=4.312,P＜0.05)、學習麯線(x2=6.372,P＜0.05)、兩種及以上內科閤併癥(x2=4.251,P＜0.05)和術後喉返神經損傷(x2 =49.015,P＜0.01).結論 影響全腔鏡下食管癌根治術圍手術期肺部併髮癥的相關因素包括年齡、吸煙指數、手術時間、學習麯線、兩種及以上內科閤併癥和術後喉返神經損傷.
목적 탐토70세이상노년식관암환자전강경수술절제후영향폐부병발증적상관인소.방법 통계재아원접수전강경수술치료적360례70세이상노년식관암환자적년령、성별、흡연지수、수술시간、학습곡선、합병내과질병、병리분기화후반신경손상등림상자료,분석가능영향술후폐부병발증적상관인소.결과 본조환자위수술기사망솔위0.28％ (1/360).술후폐부병발증발생솔위5.83％ (21/360),포괄폐부감염、폐불장、농흉、호흡쇠갈등.술후영향폐부병발증적상관인소포괄년령(x2=3.941,P＜0.05)、흡연지수(x2=6.225,P＜0.05)、수술시간(x2=4.312,P＜0.05)、학습곡선(x2=6.372,P＜0.05)、량충급이상내과합병증(x2=4.251,P＜0.05)화술후후반신경손상(x2 =49.015,P＜0.01).결론 영향전강경하식관암근치술위수술기폐부병발증적상관인소포괄년령、흡연지수、수술시간、학습곡선、량충급이상내과합병증화술후후반신경손상.
Objective To investigate the pulmonary complications and their influencing factors after thoracolaparoscopic esophagectomy in over 70-years-old patients with lung cancer.Methods A total of 360 patients over 70 years old diagnosed with esophageal cancer in our hospital were treated with thoracolaparoscopic esophagectomy.Clinical data of age, smoking index, operative time, learning curve, two or more medical complications, and postoperative recurrent laryngeal nerve injury were analyzed.The related factors influencing the postoperative pulmonary complications were also analyzed.Results The perioperatire mortality rate was 0.28％ (1/360).Postoperative pulmonary complication rate was 5.83％ (21/360), including pulmonary infection, atelectasis, empyema, respiratory failure.Postoperative pulmonary complications-related factors included age (x2 =3.941, P ＜ 0.05), smoking index (x2 =6.225, P ＜ 0.05), operative time (x2 =4.312, P ＜ 0.05), the learning curve (x2 =6.372, P ＜ 0.05), two or more medical complications (x2 =4.251, P ＜ 0.05) , and postoperative recurrent laryngeal nerve injury (x2 =49.015, P ＜ 0.01).Conclusion The perioperative pulmonary complications-related factors included age, smoking index, operative time, the learning curve, the two or more complicated medical diseases, and postoperative recurrent laryngeal nerve injury.
