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目的分析腹腔镜辅助胃癌手术的并发症发生情况。方法 100例腹腔镜辅助胃癌手术患者为研究对象,回顾性分析其治疗效果,根据并发症发生情况分为发生组(发生并发症)及未发生组(未发生并发症),分析并发症发生的影响因素。结果 100例患者经手术治疗后,20例发生并发症(发生组),占比20.00%,其中以淋巴漏最为常见,其次为吻合口瘘及肺部感染;80例未发生并发症(未发生组)。发生组住院时间、首次进食时间、肛门排气时间均长于未发生组,差异均具有统计学意义(P<0.05)。Logistic回归分析显示,住院时间、首次进食时间、肛门排气时间均是导致并发症发生的独立危险因素。结论导致腹腔镜辅助胃癌手术患者术后发生并发症的原因为住院时间、首次进食时间、肛门排气时间,对此需加强术后观察,从而促进病情恢复。
Objective To analyze the complications of laparoscopic assisted gastric surgery. Methods 100 cases of laparoscopic assisted gastric cancer surgery patients were studied, the treatment effect was retrospectively analyzed. According to the occurrence of complications, it was divided into occurrence group (complication) and non-occurrence group (no complication) to analyze the complication Influencing factors. Results 100 cases of complications occurred in 20 cases (incidence group), accounting for 20.00%. Among them, lymphatic leakage was the most common, followed by anastomotic fistula and pulmonary infection. No complications occurred in 80 cases group). The hospitalization time, the time of first meal, the time of anus exhaust were longer than those without the occurrence of group, the differences were statistically significant (P <0.05). Logistic regression analysis showed that hospitalization time, first-time feeding time and anal exhaust time were all independent risk factors for complication. Conclusions The causes of postoperative complications in patients undergoing laparoscopic-assisted gastric surgery are hospital stay, time to first meal, and anal exhaust time, which need to be enhanced to facilitate postoperative recovery.