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为提高胃癌根治手术效果,减少术后并发症,本文回顾性分析293例胃癌根治手术病人的临床资料,术后近期并发症发病率12.5%,以手术切口、肺部及腹腔内感染多见。研究发现引起这些并发症的临床相关危险因素有:患者年龄、血清白蛋白水平、手术根治范围、手术耗时及术中失血量。术前并发糖尿病及肾功能低下患者,术后并发症虽有增加,但无显著性差异。作者认为,根据术后近期并发症相关危险因素的分析,术后合理评估与正确处理患者,将能更好地改善胃癌根治手术效果。
To improve the effect of radical gastrectomy for gastric cancer and reduce postoperative complications, the clinical data of 293 patients undergoing radical gastrectomy were retrospectively analyzed. The incidence of postoperative complications was 12.5%. Surgical incision, pulmonary and intra-abdominal infections were common. The study found that the clinical risk factors that caused these complications were: patient age, serum albumin levels, surgical radical range, surgery time, and intraoperative blood loss. Patients with preoperative diabetes and poor kidney function had increased postoperative complications, but there was no significant difference. The authors believe that according to the analysis of postoperative complications related risk factors, reasonable assessment and correct treatment of patients after surgery will be able to better improve the effectiveness of radical gastrectomy.