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中国现代手术学杂志  2018, Vol. 22 Issue (4): 244-247    DOI: 10.16260/j.cnki.1009-2188.2018.04.002
  临床论著 |
腹腔镜下结肠癌手术患者术后肺部并发症的危险因素分析#br#
丁科,唐腾龙,左仲坤,彭伟辉,张磊屹,黄江生,段伦喜#br# #br#
中南大学湘雅二医院微创外科中心,湖南长沙 410011
The Risk Factors of Postoperative Pulmonary Complications (PPCs) after Laparoscopic Colectomy for Patients with Colonic Carcinoma#br#
DING Ke, TANG Tenglong, ZUO Zhongkun, PENG Weihui, ZHANG Leiyi, HUANG Jiangsheng, DUAN Lunxi#br#
Minimally Invasive Surgery Center, the Second Xiangya Hospital, Central South University, Changsha 410011, Hunan, China

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摘要 [摘要]目的探讨腹腔镜下结肠癌手术患者术后肺部并发症(postoperative pulmonary complications, PPCs)发生的危险因素。方法回顾性分析2012年7月至2016年7月中南大学湘雅二医院腹腔镜下结肠癌根治术252例病例临床资料。观察术后肺部并发症的发生情况,并对其危险因素进行单因素和多因素分析。结果252例患者中出现 PPCs 34例,发生率为13.49%。单因素分析及多因素分析显示体质指数(body mass index,BMI)、吸烟史、疼痛程度(VAS评分)、美国麻醉师协会 ASA 分级等与PPCs的发生密切相关(P<0.05)。结论BMI指数≥24 kg/m2、有吸烟史、VAS评分≥3分、ASA 分级≥Ⅲ级均是结肠癌术后患者出现PPCs的独立危险因素。

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丁科
唐腾龙
左仲坤
彭伟辉
张磊屹
黄江生
段伦喜
关键词:     结肠肿瘤;腹腔镜检查;术后肺部并发症;危险因素
    
Abstract: The Risk Factors of Postoperative Pulmonary Complications (PPCs) after Laparoscopic Colectomy for Patients with Colonic Carcinoma DING Ke, TANG Tenglong, ZUO Zhongkun, PENG Weihui, ZHANG Leiyi, HUANG Jiangsheng, DUAN Lunxi(Minimally Invasive Surgery Center, the Second Xiangya Hospital, Central South University, Changsha 410011, Hunan, China)
Abstract:ObjectiveTo investigate the risk factors of postoperative pulmonary complications (PPCs) after laparoscopic surgery in patients with colon cancer.MethodsA retrospective analysis of 252 patients undertaken laparoscopic colorectal surgery in the Second Xiangya Hospital of Central South University from July, 2012 to July, 2016 was made to summarize the postoperative pulmonary complications characteristics as well as the risk factors. The data was analyzed by the individual element and multiple factors analysis.
Results34 out of 252 had PPCs, and the incidence rate was 13.49%. The multivariate analysis showed that body mass index (BMI), smoking history, VAS score and ASA grade were closely related to the occurrence of PPCs (P<0.05).ConclusionAmong these risk factors, the BMI score more than 24 kg/m2, smokers, VAS score greater than 3, and ASA more than grade Ⅲ are independent risk factors for postoperative colorectal cancer patients suffering from postoperative pulmonary complications.

Key words:       colon neoplasms    laparoscopy    postoperative pulmonary complications    risk factors

               出版日期:  2018-08-26      发布日期:  2018-10-23      期的出版日期:  2018-08-26
ZTFLH:     
  R656.9  
  R735.3  
引用本文:    
丁科, 唐腾龙, 左仲坤, 彭伟辉, 张磊屹, 黄江生, 段伦喜. 腹腔镜下结肠癌手术患者术后肺部并发症的危险因素分析#br#[J]. 中国现代手术学杂志, 2018, 22(4): 244-247.
DING Ke, TANG Tenglong, ZUO Zhongkun, PENG Weihui, ZHANG Leiyi, HUANG Jiangsheng, DUAN Lunxi. The Risk Factors of Postoperative Pulmonary Complications (PPCs) after Laparoscopic Colectomy for Patients with Colonic Carcinoma#br#. Chinese Journal of Modern Operative Surgery, 2018, 22(4): 244-247.
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http://www.surgerychina.com/CN/10.16260/j.cnki.1009-2188.2018.04.002  或          http://www.surgerychina.com/CN/Y2018/V22/I4/244
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