老年壶腹周围肿瘤胰十二指肠切除术后30天内死亡预后因素分析

目的 分析老年壶腹周围肿瘤胰十二指肠切除术后30 d内死亡预后因素.方法 回顾性分析1985年1月至2006年11月收治的127例接受胰十二指肠切除术的老年壶腹周围肿瘤患者的临床资料.以术后30 d内死亡为结局变量,采用Chi-squared检验、Fisher精确概率检验以及t检验找出预后因素.结果 手术用时长、术中出血量、术后出血、肺部感染和术后总蛋白量低是老年壶腹周围肿瘤患者胰十二指肠切除术后30 d内死亡的预后因素.结论 老年壶腹周围肿瘤患者施行胰十二指肠切除术应正确处理手术用时长、术中出血量、术后出血、肺部感染和术后总蛋白量低等预后因素.

Prognostic factors for elderly patients with pancreaticoduodenectomy for periampullary tumor

Objectives To analyze the prognostic factors for elderly patients with pancreaticoduodenectomy for periampullary tumor.Methods A retrospective analysis of the prognostic factors for the mortality rate was made in 127 elderly patients within 30 days of pancreaticoduodenectomy for periampullary tumor from January 1985 to November 2006 Chi-squared test,Fisher's exact test,t-test were used.Results The prognostic factors for the first-month mortality rate in elderly patients with pancreaticoduodenectomy included time length of the operation,operative hemorrhage,postoperative hemorrhage,pulmonary infection,and postoperative TP.Conclusions An overall consideration should be paid to the factors that affect the prognosis of elderly patients with pancreaticoduodenectomy for periampullary tumor during the perioperative period.The security of the patients can be promoted by controlling these prognostic factors.