胆囊壁厚度和全身炎症指数值可以预测从腹腔镜转换为开放手术的可能性吗?
1Department of General Surgery, Zonguldak Bulent Ecevit University, School of Medicine, Zonguldak, Turkey.
Nigerian journal of clinical practice
|November 6, 2023
概括
胆囊壁厚度可以预测腹腔镜手术转换为开放手术的风险. 将胆囊壁厚度乘以中性粒细胞与淋巴细胞比率 (NLR) 进一步提高了胆囊切除手术的预测准确度.
科学领域:
- 手术成果研究的研究结果.
- 微创手术是最少的侵入性手术.
- 诊断标志物的发展标志.
背景情况:
- 腹腔镜胆囊切除术是常见的,但可以转换为开放式手术.
- 预测转化风险对于手术规划和患者安全至关重要.
研究的目的:
- 开发一个客观的标志物来预测从腹腔镜转换到开放手术的风险.
- 评估胆囊壁厚度和炎症标志物在预测转化中的有用性.
主要方法:
- 对700名胆囊切除术患者的回顾性分析.
- 使用胆囊壁厚度和炎症标志物 (K) 计算转化概率.
- 对手术前全血细胞计和腹部超声波数据的分析.
主要成果:
- 在转化组中观察到更高的胆囊壁厚度,中性粒细胞数量,中性粒细胞与淋巴细胞的比率 (NLR) 和血小板与淋巴细胞的比率 (PLR).
- 胆囊壁厚度切线>3毫米预测了转化风险.
- 综合标记物 (KxNLR,KxPLR) 显示出诊断价值,KxNLR和KxPLR显示出比单个标记物更高的预测能力.
结论:
- 胆囊壁厚度是腹腔镜胆囊切除术中转化风险的有效预测指标.
- 将胆囊壁厚度乘以NLR显著提高了预测转化为开放手术的灵敏度.
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