Che Xu, Shan Yi, Zhu Huai-Yu, Wang Cheng-Feng, Zhao Dong-Bing, Shao Yong-Fu, Zhao Ping
Department of Abdominal Surgery, Cancer Hospital Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100021, China.
Zhonghua Wai Ke Za Zhi. 2008 Jul 1;46(13):985-7.
To analyze the prognostic factors for elderly patients with pancreaticoduodenectomy for periampullary tumor.
A retrospective analysis of the prognostic factors for the mortality rate was made in 127 elderly patients within 30 days of pancreaticoduodenectomy for periampullary tumor from January 1985 to November 2006 Chi-squared test, Fisher's exact test, t-test were used.
The prognostic factors for the first-month mortality rate in elderly patients with pancreaticoduodenectomy included time length of the operation, operative hemorrhage, postoperative hemorrhage, pulmonary infection, and postoperative TP.
An overall consideration should be paid to the factors that affect the prognosis of elderly patients with pancreaticoduodenectomy for periampullary tumor during the perioperative period. The security of the patients can be promoted by controlling these prognostic factors.
分析老年壶腹周围癌患者行胰十二指肠切除术后的预后因素。
对1985年1月至2006年11月期间127例行胰十二指肠切除术的老年壶腹周围癌患者术后30天内死亡率的预后因素进行回顾性分析。采用卡方检验、Fisher精确检验、t检验。
老年胰十二指肠切除患者术后1个月死亡率的预后因素包括手术时间、术中出血、术后出血、肺部感染及术后总蛋白。
围手术期应综合考虑影响老年壶腹周围癌患者胰十二指肠切除术预后的因素，通过控制这些预后因素可提高患者安全性。
