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评估创伤评分系统在结直肠损伤中的预测效应

Merih Altiok¹, Haluk Tümer², Ahmet Gökhan Sarıtaş³

¹Department of General Surgery, Ortadoğu Hospital, 01250, Seyhan/Adana, Turkey. merihaltiok@gmail.com.

European journal of trauma and emergency surgery : official publication of the European Trauma Society

|August 9, 2023

概括

结肠损伤得分 (CIS) 有效地预测结肠创伤患者的结果,与一般创伤得分不同. 这一发现强调了需要专门的评分系统来改善患者的预后和治疗策略.

科学领域:

创伤外科手术创伤外科
外科手术的结果
预测指标的预测指标

背景情况:

创伤造成的结肠直肠损伤是导致患者发病率和死亡率的主要原因.
评估现有的创伤评分系统对于预测创伤后结肠损伤的结果至关重要.

研究的目的:

评估已建立的创伤评分系统 (ISS,RTS,TRISS) 和结肠损伤评分 (CIS) 对结肠创伤患者的死亡率和发病率的预测准确性.

主要方法:

对145名结肠创伤患者的回顾性分析.
计算伤害严重程度得分 (ISS),修订创伤得分 (RTS),创伤严重程度得分 (TRISS) 和结肠损伤得分 (CIS).
评估这些评分对外科手术结果,并发症,死亡率和静脉漏的预测影响.

主要成果:

研究人员发现,较高的CIS与道泄漏,发病率和死亡率的增加之间存在显著的关联.
升高的ISS和降低的RTS/TRISS与较高的发病率/死亡率相关,但不显著.
在8.2%的患者中发生了道泄漏,在39.3%的患者中出现并发症;整体死亡率为4.7%.

结论:

结肠损伤得分 (CIS) 显示了在结肠创伤中对门漏水,发病率和死亡率的显著预测价值.
一般创伤评分系统 (ISS,RTS,TRISS) 在这个患者队列中对结果的预测能力有限.
对于结肠创伤病例的预后评估,显然需要一个专门的评分系统.

关键词:

腹部创伤腹部创伤解剖学上的泄漏.结肠损伤结肠损伤疾病发病率疾病发病率死亡率死亡率死亡率

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