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目的 分析老年食管癌合并糖尿病的手术危险因素。方法 同期老年食管癌病人分为实验组(合并糖尿病 )及对照组 (无糖尿病 ) ,均行手术治疗。观察两组术前、术后心血管疾病发生率及肺部感染、吻合口瘘等并发症发生率。结果 实验组术前、术后心血管疾病发生率分别为 33 33% (8/ 2 4 )、4 5 83% (11/ 2 4 ) ,术后肺部感染发生率 2 5 % (6 / 2 4 ) ,吻合口瘘发生率 12 5 % (3/ 2 4 ) ,与对照组比较明显升高 (P <0 0 5 )。结论 老年食管癌合并糖尿病病人手术危险明显增加 ;老年食管癌合并糖尿病病人心血管疾病发生率明显升高 ,是增加手术危险的重要因素之一。
Objective To analyze the operative risk factors of elderly esophageal cancer complicated with diabetes mellitus. Methods Elderly esophageal cancer patients were divided into experimental group (with diabetes mellitus) and control group (without diabetes mellitus). All patients underwent surgical treatment. Preoperative and postoperative cardiovascular disease incidence and incidence of complications such as pulmonary infection and anastomotic fistula were observed. Results The incidences of preoperative and postoperative cardiovascular diseases in the experimental group were 33 33% (8/24) and 45 83% (11/24), respectively. The incidence of postoperative pulmonary infection was 25% (6/2) 4). The incidence of anastomotic fistula was 125% (3/24), which was significantly higher than that of the control group (P <0.05). Conclusion The risk of esophageal cancer patients with diabetes mellitus is significantly increased. The incidence of cardiovascular diseases in esophageal cancer patients with diabetes mellitus is significantly increased, which is one of the important factors to increase the risk of surgery.