影响胃癌外科治疗的危险因素分析

[目的]分析影响胃癌外科治疗的有关危险因素.[方法]对1993年10月～2003年10月行胃癌根治术的197例病人进行统计分析,调查分析住院死亡和并发症的危险因素.[结果]年龄＞65岁,术前白蛋白＜35g/L,血红蛋白＜80g/L,有合并症,联合脾/胰切除及手术方式是胃癌手术的危险因素.年龄＞65岁发生住院死亡的相对危险度(RR)为4.34,联合脾/胰切除发生并发症的相对危险度(RR)为2.97.[结论]胃癌手术时应仔细考虑以上因素,有目的控制危险因素可以降低胃癌术后的死亡率和并发症.

An Analysis of Risk Factors Affecting Surgical Management for Gastric Cancer

To investigate the relative risk factors affecting surgical management for gastric cancer.The risk factors of hospital death and postoperative complications in 197 patients undergoing radical surgery for gastric cancer from Oct. 1993 to Oct. 2003 were analyzed.The relative risk factors of hospital death and postoperative complications included ages more than 65 years, albumin lower than 35g/l, hemoglobin lower than 80g/L ,accompanied with other diseases, combined resection of spleen or pancreas and total gastrectomy. The risk ratio of hospital death for the patient with ages more than 65 years was 4.34, and the risk ratio of postoperative complications for the patient with combined resection of spleen or pancreas was 2.97.[Conclusions]These risk factors should be considered carefully during surgery. Controlling these risk factors properly may reduce the postoperative complications and hospital death rate.