摘要
[目的]探讨高龄食管癌术后肺部并发症的危险因素及其防治。[方法]采用病例对照研究方法,对2002年1月～2005年6月期间的高龄食管癌手术患者进行调查,并对术后肺部并发症可能的危险因素进行Logistic回归分析。[结果]多因素非条件Logistic逐步回归分析显示:FEV1/FVC<70%、贫血、吸烟史、术前放疗、手术时间超过4h、吻合口平面在主动脉弓上是食管癌术后肺部并发症的主要危险因素;术后镇痛是保护因素。[结论]对于高龄食管癌患者应做好充分的术前准备,选择合适的术式,术后常规镇痛。
[Purpose] To investigate the risk factors and prophylaxis of postoperative pulmonary complications after esophagectomy in elderly patients with esophageal careinoma.[Methods] A case-control study with logistic regression was conducted in patients with postoperative pulmonary complication after esophageal carcinoma from Jan. 2002 to Jun. 2005. [Results] The risk factors identified by muhifaetor noconditional logistic regression showed FEV1/FVC〈70%, anaemia, smoking, operating times〉4h, neoadjuvant radiotherapy and anastomosis above the aortic arch. The protective factor was postoperative analgesia. [ Conclusions] Abundant preoperative preparation, appropriate surgical approach and postoperative analgesia should be performed for elderly patients with esophageal carcinoma.
出处
《中国肿瘤》
CAS
2006年第7期470-472,共3页
China Cancer
关键词
老年人
食管肿瘤
并发症
危险因素
elder
esophageal neoplasms
complication
risk factor
