影响胃癌全胃切除术术后并发症的相关因素的Logistic回归分析(1)
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[摘要] 目的 探讨影响胃癌患者全胃切除术后发生并发症的相关因素。 方法 2007年1月～2011年12月，共有328例胃癌患者在我院行全胃切除术。所有患者随访4个月～5年，分析其临床资料，探讨发生并发症的相关因素。 结果 患者的年龄、白细胞、白蛋白、肿瘤大小、术中失血量、手术方式、是否具有合并症及心血管疾病、糖尿病、肝硬化、营养不良、术中输血是发生术后并发症的相关因素。经胸腹联合手术、联合脏器切除、术中失血量、合并症为术后发生并发症的危险因素，而术中输血及白蛋白水平是保护因素。 结论 影响全胃切除术后并发症发生的独立危险因素有胸腹联合手术、联合脏器切除、术中失血量、合并症。
[关键词] 胃癌；全胃切除术；回归分析；Logistic
[中图分类号] R735.2 [文献标识码] B [文章编号] 1673—9701(2012)26—0028—03
Logistic analysis of relevant factors for postoperative complications of total gastrectomy on gastric carcinoma
CHEN Guoping CHEN Jianming
Department of General Surgery，the Second Hospital of Fuzhou City，Fuzhou 350007，China
[Abstract] Objective To discuss relevant factors for postoperative complications of total gastrectomy on gastric carcinoma. Methods Form Jan 2007 to Dec 2011，328 cases with astric carcinoma treated by total gastrectomy in our hospital. Followed up 4 months to 5 years， clinical data were analyzed to discuss the relevant factors for postoperative complications. Results Age，WBC level，albuminous level，tumor size，intraoperatie bleeding，surgical procedures， complications，ardiovascular disease，diabetes，cirrhosis malnutrition，intraoperative transfusion were relevant factors for postoperative complications.Transabdomen combined thoracic operation，combined organ resection，preoperative complications and intraoperatie bleeding were risk factors，and intraoperative transfusion，albuminous level were protective factors. Conclusion Independent risk factors for postoperative complications of total gastrectomy were transabdomen combined thoracic operation，combined organ resection，preoperative complications and intraoperatie bleeding.
[Key words] Gastric carcinoma； Total gastrectomy； Regression analysis； Logistic ......
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