食管癌、贲门癌术后发生肺部并发症的高危因素分析

<title>sk Factors for Post - operative Pulmonary Complication in Esophageal and Cardiac Carcinoma patients.

目的:探讨食管、贲门癌术后发生肺部并发症的高危因素。方法:157例手术切除食管癌或贲门癌患者中,术后60例发生肺部并发症,为并发症组;其余97例为对照组。用X2检验比较两组患者的多项指标的差异。结果:年龄≥65岁、合并肺部疾病、术前肺功能明显减退、吻合平面在主动脉弓上、手术时间≥4h者在并发症组中所占比率明显高于对照组(P<0.05或P<0.01)。结论:高龄、术前合并肺部疾病、术前肺功能明显异常、吻合平面高、手术时间长均是食管(贲门)癌术后发生肺部并发症的高危因素。应加强围手术期的综合处理并不断完善手术技巧。

<abstract>jective:To analyze the risk factors for post-operative pulmonary complication in patients with esophageal and cardiac carcinoma.Methods: Of the 157 patients with post - operative esophageal and cardiac carcinoma, 60 who had pulmonary complications were included into the complication group and the other 97 served as controls.X2 was used to compare the indes and of the two groups. Results: The patients who were 65 years or older, or suffered from pulmonary diseases before the operation, or whose preoperative pulmonary function was worsening, or the esophagogastric anastomosis site was above aortic arch, or whose operation took not less than 4 hours occupted obviously higher proportion in the pulmonary complication group than in the cortrol group (P<0.05或P < 0.01) . Conclusion: Old age, preoprative pulmonary disease, preopreative pulmonary function abnormality, high location of anastomsis and long operation time are all the rksk factors for post - operative pulmonary complication in patients with esophageal and candiac carcinoma. Intensive perioperative treatment should be streng thened and operation skills improved.