在直肠癌手术决策中应用REAL-score预后指数
Daniel Aparicio-López1, Isabel Gascón-Ferrer1, Antonio Martínez-Germán1
1Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Miguel Servet, Zaragoza, España.
Cirugia y cirujanos
|October 16, 2023
概括
该REAL-score可以预测结直肠癌手术中的结直肠瘤泄漏. 超过14.74%的得分表明高风险,这表明暂时的骨髓切除可能是有益的.
科学领域:
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
- 临床风险评估临床风险评估
背景情况:
- 结肠直肠解漏 (AL) 是直肠癌手术后的一个重大并发症,影响患者的发病率,死亡率和瘤结果.
- 该REAL-score指数提供了一个预测AL风险和评估外科手术结果的工具.
研究的目的:
- 为了评估REAL-score指数在预测直肠癌手术患者的结直肠瘤泄漏中的实用性.
- 评估高REAL分数值与暂时结肠切除术的需要之间的关系.
主要方法:
- 2019年对80名直肠癌患者进行过手术的回顾性观察研究.
- 分析发病率,死亡率和REAL分数指数,使用ROC曲线来确定预测准确度.
主要成果:
- 发病率为38.4%,严重并发症为7.7%,没有死亡.
- 14.74%的REAL分数切线显示,与高AL风险和暂时性闭口术的实践有直接关系.
结论:
- 在直肠癌手术中,REAL-score 是一个有价值的决策工具.
- 超过确定的切断值的REAL得分表明AL的风险更高,支持考虑选择性结节切开术.
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