分析肺癌术后肺部并发症的预测因素。

回顾性分析福建医科大学附属龙岩市第一医院心胸外科在2017年1月—2018年12月期间因肺癌行肺部切除手术的331例患者的临床资料。针对可能与肺部切除术后肺部并发症有关的临床因素进行单因素和多因素分析。筛选肺癌术后肺部并发症的预测因素。

331例肺癌患者中，51例患者术后发生肺部并发症，发生率为15.41%。单因素分析显示，有肺部并发症组和无肺部并发症组患者的性别构成、术前血清白蛋白水平、术前血液C反应蛋白(CRP)水平、手术方式、术前是否合并肺气肿比较，差异均有统计学意义(P<0.05)。多因素分析显示，手术方式、术前未合并肺气肿是肺癌术后肺部并发症的独立保护因素。

通过评估肺癌术后出现的肺部并发症的相关因素，可降低肺部并发症，有利于围手术期患者的管理。

To analyze the factors of pulmonary complications after lung cancer.

The clinical data of 331 patients who underwent lung resection in the First Hospital of Longyan City, Fujian Medical University from January 2017 to December 2018 were analyzed retrospectively. Single factor and multi-factors analyses were performed on the clinical factors that may be associated with pulmonary complications after pulmonary resection to investigate the predictors of pulmonary complications.

Among the 331 patients in the study, 51 patients developed pulmonary complications and the incidence rate of pulmonary complications was 15.41%. The comparison of the clinical data of patients with and without pulmonary complications were made. Single factor analysis showed that there were statistically significant differences in patients’ gender, preoperative serum albumin level, preoperative c-reactive protein (CRP) level, surgical methods, and whether there was emphysema before surgery (P < 0.05). Multi-factors analysis showed that operation methods(lobectomy , wedge resection) and non-combination of preoperative emphysema were the independent protective factors for postoperative pulmonary complications of lung cancer.

By evaluating the related factors of pulmonary complications after lung cancer surgery, the pulmonary complications can be reduced, which is beneficial to the management of patients in the perioperative period.