远端胃癌根治术后胃排空延迟的危险因素及其对预后的影响

中华普通外科杂志 Pub Date : 2020-02-25 DOI:10.3760/CMA.J.ISSN.1007-631X.2020.02.005

S. Wei, Yi Wang, Z. Ye, Yi Zeng, Zhenmeng Lin, Zhitao Lin, Shu Chen, Xiaoling Chen, Luchuan Chen

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引用次数: 0

摘要

目的分析远端胃癌根治术后胃排空延迟的危险因素及其对预后的影响。方法回顾性分析2007年7月至2018年1月在福建省肿瘤医院行胃切除术的1447例远处癌症患者的临床和病理资料。结果101例（7.0%）患者出现DGE，平均发生在术后（6.0±2.1）d。与年龄、糖尿病、低蛋白血症、术前幽门梗阻、手术时间、手术方式、吻合口操作、术后镇痛等因素显著相关（均P＜0.05）。结论DGE延长了住院时间，但不影响患者的预后。关键词：胃肿瘤；胃排空；风险因素；预后；胃切除术

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Risk factors of delayed gastric emptying and its influence on the prognosis after radical gastrectomy for distant gastric cancer

Objective To analyze the risk factor of delayed gastric emptying (DGE) and the impact of DGE on prognosis after radical gastrectomy of distal gastric carcinoma. Methods The clinical and pathological data of 1447 distant gastric cancer patients undergoing gastrectomy from Jul 2007 to Jan 2018 at Fujian Tumour Hospital was analyzed retrospectively. Result DGE was found in 101 patients (7.0%), occurring at a median of (6.0±2.1)d after surgery. It was significantly correled with age, diabetes, hypoproteinemia, preoperative pyloric obstruction, operation time, surgical mode, anastomotic procedure, postoperative analgesia(all P 0.05) Conclusion DGE prolonged hospital stay, but did not influence patients′ prognosis. Key words: Stomach neoplasms; Gastric emptying; Risk factors; Prognosis; Gastrectomy

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中华普通外科杂志

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