摘要
目的分析与老年颅内肿瘤术后并发症相关的因素。方法对北京天坛医院2005年1月至2007年12月252例手术治疗的老年颅内肿瘤相关资料进行回顾性研究。分析诸多临床因素与老年颅内肿瘤患者术后发生并发症的关系。应用SPSS 13.0软件进行单因素分析和多因素Logistic回归分析。结果单因素分析显示,术前患者卡氏评分(KPS)、肿瘤部位、术中出血量、麻醉时间、手术时间等与术后并发症的发生有关。多因素分析显示,术前患者KPS评分和肿瘤部位是术后并发症的主要影响因素。结论术前KPS小于90分和肿瘤位于幕下等是术后并发症的主要影响因素。术中出血量、麻醉时间以及手术时间等因素也与术后并发症发生率有一定相关。而年龄、性别、肿瘤切除程度和术前美国麻醉师协会评分(ASA)等在本研究中显示不是术后并发症的主要影响因素。
Objective To investigate the factors associated with surgical complications. Methods A consecutive series of 252 surgeries performed from January 2005 to December 2007 were retrospectively analyzed. Age, sex, preoperative Karnofsky scale （KPS）, American Society of Anesthesiologists （ASA） status, anatomic localization, extent of tumor resection, bleeding volume, anesthesia time and duration of the whole operation were evaluated. Resldts In multivariate analysis, only pre-operative KPS （P = 0. 001 ） and infratentorial tumors （P =0.019） showed the significant association with post-operative complications. Conclusion It shows that the pre- operative KPS and infratentorial location are the factors related to post-operative complications, whereas age, sex, ASA status, extent of tumor resection, the bleeding volume, anesthesia time and duration of the whale operation are not the risk factors.
出处
《中华神经外科疾病研究杂志》
CAS
2013年第4期336-340,共5页
Chinese Journal of Neurosurgical Disease Research
关键词
颅内肿瘤
术后并发症
老年
Brain neoplasms
Post-operative complications
Aged
