胃癌术后并发症危险因素的分析.pdfVIP

·26· 胃癌术后并发症危险因素的分析 纪辉 匡玉庭李红营胡波 【摘要】目的探讨与胃癌术后并发症有关的危险因素。方法 回顾性分析2()1)6年6月至 201 1年1I)月行胃癌手术病人的临床资料，对术前、术中各种指标进行单因素分析，对其中有统计学 术后并 意义的变量进行多因素Logistic回归分析，筛选出影响胃癌术后并发症的危险因素。结果 发症与联合脏器切除、Ⅲ～Ⅳ期、肝硬化、全胃切除、术前合并症、术中出血量、手术时间、年龄60岁 等危险因素相关。结论联合脏器切除、肿瘤分期Ⅲ～Ⅳ期、术前合并症、肝硬化、全胃切除、术中出 血量、手术时间、年龄60岁为胃癌术后并发症的独立危险因素。 【关键词】胃肿瘤；手术后并发症；危险因素；回归分析 Multivariate oftheriskfactorsof postoperativecomplications Logisticregressionanalysis gastrectomy o／GeneralSurgery，theFirstAfJilia— jiHui，KUANGYu-ting，LJHong-ying，etal．Department ted 21S1)I)6·(办ina Soocho叫University·Suzhou Hospitalof author：KUANG 26．coln Corresponding yh—ting，E-mail：Ⅱ6幽s￡@1 To theriskfactorsof ofradical [Abstract] investigate postoperativecomplications Objective Theclinicaldataof with cancer tO for cancer．Methods gastric patientsgastric subject gastrectomy radical ftom 2006tOOct．2011 were factor June retrospectivelyanalyzed．Singleanalysis gastrectomy factors。etc．Variableswithsta— wasdoneonthefactorsof factors，tumor preoperativestatus。operation receivedmultivariate theriskfactors tisticaI analysis，and influencing significance Logisticregression the of cancerwerescreenedOUt．Results gastric Postoperativecomplica— postoperativecomplications tionswereassociatedwithcombinedresection。m—iv cirrhosis，total organ stages，liver gastrectomy， lossand time．Conclus