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目的:分析影响老年胃癌患者根治性全胃切除的危险因素。方法:对1996年8月至2006年8月60岁以上的166例老年胃癌行根治性全胃切除患者的资料进行回顾性分析,确定影响老年胃癌患者根治性全胃切除的危险因素。结果:术前有并存疾病、血红蛋白≤80g/L、白蛋白≤35g/L、体重指数≤18.5kg/m2、术中失血量≥1000mL、手术时间≥5h、联合脏器切除(脾/胰体尾切除)是老年胃癌患者根治性全胃切除的危险因素,发生死亡的相对危险度分别为1.59、1.84、3.17、4.33、2.31、2.18、3.80,发生并发症的相对危险度分别为1.62、1.99、2.33、2.12、2.45、1.56、3.71。结论:老年胃癌患者行根治性全胃切除时应综合考虑上述危险因素,以提高手术的安全性。
Objective: To analyze the risk factors of radical total gastrectomy affecting elderly patients with gastric cancer. Methods: The data of radical gastrectomy in 166 elderly patients with gastric cancer over 60 years old from August 1996 to August 2006 were retrospectively analyzed to determine the risk factors of radical gastrectomy affecting elderly patients with gastric cancer. Results: Preoperative coexisting disease, hemoglobin ≤ 80g / L, albumin ≤ 35g / L, body mass index ≤ 18.5kg / m2, intraoperative blood loss ≥ 1000mL, operation time ≥ 5h, combined with excision of organs (spleen / body Tail resection) is a risk factor for radical gastrectomy in elderly patients with gastric cancer, the relative risk of death were 1.59,1.84,3.17,4.33,2.31,2.18,3.80, the relative risk of complications were 1.62,1.99 , 2.33,2.12,2.45,1.56,3.71. Conclusion: In elderly patients with gastric cancer radical gastrectomy should consider the above risk factors, in order to improve the safety of surgery.