计算机断层扫描评估的麻症对老年患者复杂尾炎的预测价值
Ali Cihat Yildirim1, Şahinde Atlanoğlu2, Mehmet Ali Gedik2
1General Surgery Department Kutahya Health Sciences University Kutahya Turkey.
Aging medicine (Milton (N.S.W))
|September 15, 2023
概括
计算机断层扫描评估的皮症预测了老年患者复杂的尾炎. 较低的BMI,肌肉质量下降和肉症增加风险,以及伴随疾病,影响手术结果.
科学领域:
- 老年人手术是一门老年手术.
- 放射学 放射学是一门学科.
- 萨尔科佩尼亚研究研究
背景情况:
- 老年患者的尾炎与增加的发病率和死亡率有关.
- 皮症对手术患者的结果产生负面影响.
- 确定老年人复杂尾炎的预测因素至关重要.
研究的目的:
- 为了评估计算机断层扫描 (CT) 对老年患者复杂尾炎评估的尾症的预测价值.
- 为了确定老年人肉类症和尾炎严重程度之间的关联.
主要方法:
- 对154名患有急性尾炎的老年患者进行了回顾性分析.
- 评估人口统计数据,并发症,体重指数 (BMI) 和CT评估的骨肌肉指数 (SMI).
- 接收器操作特性 (ROC) 曲线分析用于SMI和多变量分析.
主要成果:
- 52%的患者出现了复杂的尾炎.
- 在不复杂和复杂尾炎组之间观察到BMI,SMI和肌肉面积的显著差异 (P <0.05).
- 多变量分析表明,并发性疾病与复杂尾炎的关联比萨尔科佩尼亚更强烈.
结论:
- 较低的BMI,肌肉面积缩小和CT检测的肉是老年患者复杂尾炎的危险因素.
- 伴随性疾病也是复杂尾炎的重要危险因素.
- 对这些因素的认识对于外科医生来说至关重要,以减轻老年患者的高发病率和死亡率.
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