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目的评估术后液体负平衡对胃癌淋巴结D3切除术手术死亡率和并发症的预测价值。方法回顾性分析我院1994年1月~2006年3月间行胃癌淋巴结D3切除术82例的临床资料。根据术后液体负平衡出现的时间将病例分为A、B两组。A组为术后3d内出现负平衡的病人(70例),B组为术后3d内未出现负平衡的病人(12例)。结果对两组围手术期的相关因素进行比较,无显著性差异(P>0.05);A组手术死亡率及并发症发生率明显低于B组(P<0.01)。结论术后液体负平衡出现的迟早是反映手术死亡率和并发症发生率高低的一项重要指标。
Objective To evaluate the predictive value of postoperative fluid negative balance in surgical mortality and complications of lymph node resection in patients with gastric cancer. Methods A retrospective analysis of our hospital from January 1994 to March 2006 gastric cancer lymph node D3 resection of the clinical data of 82 cases. According to the postoperative fluid negative balance of time will be divided into A and B cases. Group A was negative in 70 days after operation, and group B was negative in 12 days after operation. Results There was no significant difference between the two groups in perioperative related factors (P> 0.05). The mortality rate and complication rate in group A were significantly lower than those in group B (P <0.01). Conclusion The sooner or later postoperative fluid negative balance appears to be an important indicator of surgical mortality and the incidence of complications.