在机器人腎切除術后,肉症和體脂變化是放射性切口的危險因素
Simin Hajian1, Alireza Ghoreifi2, Steven Yong Cen1
1Department of Radiology, University of Southern California, Los Angeles, CA, USA.
Skeletal radiology
|May 30, 2023
概括
身体脂肪的变化,无论是增加还是减少,都与机器人切术后发生切口有关. 监测身体成分可能有助于预测这些患者的风险.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
- 放射学 放射学是一门学科.
背景情况:
- 机器人切除术在脏瘤中越来越常见.
- 切口 (IH) 是腹部手术后的潜在并发症.
- 了解肠道炎症的风险因素对于患者管理至关重要.
研究的目的:
- 调查身体肌肉和脂肪指标之间的关联以及机器人切术后放射性切口 (IH) 的发生率.
- 为了确定可能预测IH发展的特定身体组成因素.
主要方法:
- 236名接受机器人切除术 (2011-2017年) 的患者的回顾性审查.
- 术前和术后的CT扫描分析了psoas肌肉质量和皮下/内脏脂肪区域.
- 考克斯的比例危险模型评估了身体指标和内脏病发育之间的关系.
主要成果:
- 26%的患者在23个月的中位随访期间发生了放射性IH.
- 萨科佩尼亚与IH风险没有显著关联.
- 术前皮下和内脏脂肪的显著减少和增加都与IH风险增加有关.
结论:
- 身体脂肪的变化,无论是过度增加还是损失,都与机器人切术后的放射性切口的发展有关.
- 这些发现凸显了人体构成在预测手术结果方面的重要性.
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