老年胃癌患者术后并发症的相关因素分析

【摘要】〓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。

Related factors of postoperative complications in elderly patients with gastric cancer s

【Abstract】 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.