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目的:探讨分析胃癌术后早期并发症发生情况及相关影响因素。方法:以2010年3月-2013年9月在我院进行胃癌手术切除治疗的69例患者为对象,采用回顾性分析方法,对患者治疗经过的资料进行整理,采用单因素与多因素相结合分析方法探讨胃癌术后并发症的相关影响因素。结果:69例胃癌患者术后共计12例出现不同程度并发症,发生率为17.39%,主要为出血,肺部感染,乳糜漏,吻合口瘘等。肿瘤大小,肿瘤浸润深度,淋巴结转移情况,手术时间是并发症发生的相关因素(P<0.05)。并发症发生的独立危险因素包括肿瘤大小,是否淋巴结转移,手术进行时长等(P<0.05)。结论:胃癌术后的并发症独立危险因素较多,应早期预防,及时发现并处理。
Objective: To investigate the incidence of postoperative complications of gastric cancer and related factors. Methods: From March 2010 to September 2013, 69 patients who underwent gastric resection in our hospital were enrolled in this study. The retrospective analysis was used to sort out the data of patients’ treatment. The combination of single factor and multiple factors Analysis of factors related to postoperative complications of gastric cancer. Results: A total of 69 patients with gastric cancer after operation showed a total of 12 cases with different degrees of complications, the incidence rate was 17.39%, mainly bleeding, pulmonary infection, chylous leakage, anastomotic fistula and so on. The size of tumor, depth of tumor invasion, lymph node metastasis and operation time were related factors of complication (P <0.05). Independent risk factors for complications included tumor size, lymph node metastasis, duration of surgery, and so on (P <0.05). Conclusion: Postoperative complications of gastric cancer are more independent risk factors, should be early prevention, timely detection and treatment.