老年根治性全胃切除术后并发症的发生原因分析及其防治策略

摘要

Objective: To analyze the causes and prevention strategies of elderly radical total gastrectomy complications.Methods:The clinical data of 259 cases of elderly patients with gastric cancer who were treated in our hospital from January 2010 to September 2014 were statistically analyzed.Results:The differences of age, white blood cell count,albumin level,tumor diameter,intraoperative blood loss,operative time,after thoracoabdominal surgery,combined organ resection,preoperative comorbidities,cirrhosis,chronic obstructive pulmonary disease,diabetes,cardiovascular disease,blood transfusion,weight loss malnutrition between group with complications and group without complications were significantly (P<0.05).Conclusion:Elderly radical total gastrectomy complications causes include joint organ resection,after thoracoabdominal surgery,preoperative comorbidities,albumin level,intraoperative blood loss,intraoperative blood transfusion,the clinical should actively adopt control strategies to reduce the incidence of postoperative complications of the patients to the minimum.%目的：分析老年根治性全胃切除术后并发症的发生原因及其防治策略。方法：统计我院2010年1月～2014年9月收治的259例老年胃癌患者的临床资料，进行分组分析。结果：并发症组和无并发症组患者的年龄、白细胞计数、白蛋白水平、肿瘤直径、术中失血量、手术时间、经胸腹联合手术、联合脏器切除、术前合并症、肝硬化、慢性阻塞性肺疾病、糖尿病、心血管系统疾病、术中输血、体重下降、营养不良之间的差异均显著（P＜0.05）。结论：老年根治性全胃切除术后并发症的发生原因包括联合脏器切除、经胸腹联合手术、术前合并症、白蛋白水平、术中失血量、术中输血，临床应积极采取有针对性的防治策略将患者的术后并发症发生率降到最低。