腹腔镜辅助胃癌根治术并发症危险因素分析
发布时间：2018-08-14 09:25
【摘要】：目的分析腹腔镜辅助胃癌根治术发生并发症的危险因素。方法回顾性分析上海交通大学医学院附属仁济医院胃肠外科2010年1月至2015年12月收治的245例行腹腔镜辅助胃癌根治术病人的临床资料,通过ROC曲线确定观察指标的临界值并分组,采用χ~2检验比较不同分组的并发症发生率,应用Logistic回归法进行多因素分析。结果 245例病人中33例(13.5%)术后出现并发症。在纳入分析的17个观察指标中,BMI≥25(χ~2=12.620,P0.01)、伴发合并症1种(χ~2=4.272,P=0.039)、血清白蛋白≤33 g/L(χ~2=6.805,P0.01)、手术时间230min(χ~2=7.976,P0.01)、术中出血量200 m L(χ~2=7.140,P0.01)、围术期输血量600 m L(χ~2=22.686,P0.01)、肿瘤直径2 cm(χ~2=9.812,P0.01)、术者操作经验欠缺(χ~2=5.896,P=0.015)与腹腔镜辅助胃癌根治术并发症的发生率有关。多因素分析显示,血清白蛋白(≤33 g/L)、围手术期输血(600 m L)和肿瘤直径(2 cm)是术后并发症发生的独立影响因素。结论对于行腹腔镜辅助胃癌根治术病人,术前审慎评估全身情况、纠正低蛋白血症,术中操作精准以减少出血和输血,合理选择吻合方式,尽早度过学习曲线,可有效降低术后并发症的发生率。
[Abstract]:Objective to analyze the risk factors of complications in laparoscopic assisted radical gastrectomy. Methods the clinical data of 245 patients undergoing laparoscopic assisted radical gastrectomy in Renji Hospital, Shanghai Jiaotong University, from January 2010 to December 2015, were retrospectively analyzed. The critical value of observed indexes was determined by ROC curve and divided into groups. The incidence of complications in different groups was compared by 蠂 ~ 2 test and multivariate analysis was performed by Logistic regression method. Results of 245 patients, 33 (13.5%) had postoperative complications. 鍦ㄧ撼鍏ュ垎鏋愮殑17涓瀵熸寚鏍囦腑,BMI鈮，
本文编号：2182419
[Abstract]:Objective to analyze the risk factors of complications in laparoscopic assisted radical gastrectomy. Methods the clinical data of 245 patients undergoing laparoscopic assisted radical gastrectomy in Renji Hospital, Shanghai Jiaotong University, from January 2010 to December 2015, were retrospectively analyzed. The critical value of observed indexes was determined by ROC curve and divided into groups. The incidence of complications in different groups was compared by 蠂 ~ 2 test and multivariate analysis was performed by Logistic regression method. Results of 245 patients, 33 (13.5%) had postoperative complications. 鍦ㄧ撼鍏ュ垎鏋愮殑17涓瀵熸寚鏍囦腑,BMI鈮，
本文编号：2182419
本文链接：https://www.wllwen.com/yixuelunwen/zlx/2182419.html
