预测模型使用与最小侵入性食道切除术后解剖口腔泄漏相关的风险因素
Peng Su1, Chao Huang2, Huilai Lv3
1Peng Su, Department of Thoracic Fifth, Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, Hebei Province, P.R. China.
Pakistan journal of medical sciences
|September 8, 2023
概括
这项研究确定了最小侵入性食道切除术 (MIE) 后解剖口腔泄漏的关键风险因素. 开发了一种预测性诺莫格拉姆模型,以准确估计术后泄漏的概率,帮助临床决策.
科学领域:
- 胃肠道手术 胃肠道手术
- 手术瘤学手术瘤学
- 最少侵入性手术的方法
背景情况:
- 解剖管泄漏是微创性食道切除术 (MIE) 后的一个重大并发症.
- 识别可靠的预测器,以解静脉泄漏对于改善患者的结果至关重要.
研究的目的:
- 为了确定与MIE后的静脉漏相关的风险因素.
- 开发和验证一个预测模型,用于估计术后流泄漏的概率.
主要方法:
- 对接受MIE的308名患者的临床数据进行了回顾性分析.
- 单变量和多变量逻辑回归以确定独立的风险因素.
- 使用C指数和ROC曲线分析构建和验证名ogram预测模型.
主要成果:
- 在手术后发生的静脉漏的发生率为9.74% (30名308名患者中).
- 已确定的危险因素包括晚年,术后妄想,肺部粘附,肺部并发症,白细胞数量升高和淋巴细胞数量低.
- 开发的名图表显示出优异的区分 (C指数:0.9609) 和预测效率 (AUC:0.9609).
结论:
- 一个名图模型有效地预测了MIE后的静脉漏风险.
- 该模型可以帮助临床医生评估和管理接受食道切除术的患者.
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