复习带动脉损伤中受损极端严重性评分 (MESS):越南单中心经验
Lam Van Nut1, Huynh Thanh Son1, Nguyen Lam Vuong2
1Department of Vascular Surgery, Cho Ray Hospital, Ho Chi Minh City, VNM.
Cureus
|June 12, 2023
概括
形四肢严重程度评分 (MESS) 可以帮助预测形动脉损伤中的截肢风险,但其准确性有限. 多学科的手术团队方法对于最佳的肢体救援决策至关重要.
科学领域:
- 血管外科 血管外科
- 创伤外科 手术 创伤外科
- 整形外科手术 整形外科手术
背景情况:
- 脊柱动脉损伤是一个危急的情况,具有失去肢体的高风险.
- 早期干预是成功挽救四肢的关键.
- 纹极端严重性评分 (MESS) 用于预测截肢,但其在尾动脉损伤,特别是摩托车事故中的实用性是不确定的.
研究的目的:
- 评估形四肢严重性评分 (MESS) 在预测受创性脊柱动脉损伤患者截肢的有效性.
- 评估MESS的预测价值在一个与摩托车相关创伤高发病率的环境中.
主要方法:
- 对120名患有脊柱动脉损伤而经过手术治疗的患者进行了回顾性研究.
- 从医疗记录,放射学和手术笔记中收集的数据.
- 用于评估MESS预测精度的物流回归和曲线下面面积 (AUC) 分析.
主要成果:
- 超过8的MESS得分与更高的截肢率有关.
- MESS的整体预测值有限,AUC为0.68.
- 骨/软组织损伤,四肢缺血和冲击的较高得分独立预测截肢风险;年龄得分在四肢救援组中较高.
结论:
- 虽然MESS得分在预测脊柱动脉损伤的截肢方面有一些实用性,但它也有局限性.
- 建议在截肢决策过程中采用经验丰富的外科医生参与的协作方法.
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