文档介绍：新疆医科大学
硕士学位论文
311例老年口腔颌面部肿瘤患者的围手术期分析
姓名:尹小朋
申请学位级别:硕士
专业:口腔临床医学
指导教师:林兆全
2011-04
新疆医科大学硕士学位论文
311 例老年口腔颌面部肿瘤患者的
围手术期分析
研究生:尹小朋导师:林兆全主任医师
摘要
目的:本研究通过回顾 311 例老年口腔颌面部肿瘤患者的临床资料,并对其进
行术前全身情况的综合评估,评估其进行手术治疗的风险程度,做好围手术期处理,
从而控制和降低老年口腔颌面部肿瘤手术治疗的风险,减少术中、术后并发症的出
现,提高疗效。方法:收集新疆医科大学第一附属医院口腔颌面外科经手术治疗的
60 岁以上的口腔颌面部肿瘤患者 311 例,对入院时其病情的严重程度及其全身并存
的系统性疾病情况进行初步分析,再根据其既往病史和各项检查结果,对患者心血
管系统、内分泌系统及呼吸系统等各脏器功能进行评价,将手术风险分为低、中等、
高风险三个等级,根据手术风险等级及围手术期各项监测指标,加强围手术期各项
控制与处理,最后进行分析与总结。结果:311 例患者中男女之比为 :1;恶
性肿瘤 151 例,占 %,良性肿瘤 160 例,占 %,良恶性肿瘤之比为 :1,
伴有系统性疾病者 190 例,占 %。其中心血管疾病 82 例,糖尿病 42 例,呼吸
系统疾病 28 例,两种并存病以上者 38 例;术前手术风险评估等级低风险 140 例,
中等风险 130 例,高风险 41 例,311 例患者经围手术期处理后,均安全度过围手术
期,无严重术中或术后并发症发生,均痊愈后出院。结论:老年口腔颌面部肿瘤患
者并存病多,做好术前手术风险评分,积极处理其并存病,强化围手术期处理,可
使老年口腔颌面部肿瘤患者取得满意的治疗效果。
关键词:老年人;围手术期;口腔颌面部肿瘤
1
新疆医科大学硕士学位论文
Clinical analysis of 311 senior cases with oral and
maxillofacial tumor in perioperative period
Postgraduate: Yin Xiaopeng Supervisor: Chief physician Lin Zhaoquan
Abstract
Objective: To assess the surgical risk of aged patients with oral and maxillofacial
tumors, make perioperative managements to reduce plications, and
improve treatment efficacy.
Methods: Three hundred and eleven cases with oral and maxillofacial tumors were
collected to analyze the disease severity and co-existence systemic diseases. All patients
were more than 60 years old. According to the patients’ past history and medical
examination, the cardiovascular system, endocrine system, respiratory system and other
organ functions were evaluated. Then, the surgical risk was divided into three levels:
low, medium, and high; On the basis of the level of surgical risk, perioperative
managements of the monitoring indicators, the strengthen control and perioperative
treatments were performed, and finally analyzed.
Results: Among 311 inpatients, the ratio of male to female was :1; the