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目的探讨高龄食管癌患者术后肺部并发症的相关因素。方法回顾性分析244例高龄食管癌患者的临床资料,根据是否有术后肺部并发症分为观察组(肺部并发症组)和对照组(无肺部并发症组),并分析其相关因素。结果术后发生肺部并发症患者74例(30.3%);两组患者在性别、年龄及手术入路等方面差异无统计学意义(P>0.05)。吸烟、合并疾病≥2种、术前肺功能较低(FEV1占预计值<50%)、术中输液量较多、手术时间较长、吻合口平面在主动脉弓以上患者的术后肺部并发症发生率相对较高(P<0.05)。结论高龄食管癌患者术后肺部并发症发生率较高,临床医生需根据患者不同情况给予正确指导及积极处理,并不断提高手术操作水平,以降低术后肺部并发症的发生率,提高患者术后生存质量。
Objective To investigate the related factors of postoperative pulmonary complications in elderly patients with esophageal cancer. Methods Retrospective analysis of 244 cases of elderly patients with esophageal cancer clinical data, according to whether the postoperative pulmonary complications were divided into observation group (pulmonary complications group) and control group (no pulmonary complications group), and analyzed the correlation factor. Results There were 74 patients (30.3%) with postoperative pulmonary complications. There was no significant difference in gender, age and surgical approach between the two groups (P> 0.05). Smoking, combined disease ≥ 2, preoperative lung function is low (FEV1 accounted for <50% of the expected value), intraoperative infusion more, longer operation time, anastomotic plane above the aortic arch in patients with postoperative pulmonary complications The incidence was relatively high (P <0.05). Conclusion The incidence of postoperative pulmonary complications in elderly patients with esophageal cancer is relatively high. Clinicians should give proper guidance and take active measures according to the patients’ different situations, and continuously improve the operation level to reduce the incidence of postoperative pulmonary complications and improve Postoperative quality of life of patients.