在常规手术前CT扫描中确定的内脏肥胖症预测了手术后腹部爆裂的风险
Matthias Mehdorn1, Benedikt Schnarkowski2, Yusef Moulla3
1Department of Visceral, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig, Liebigstraße 20, 04103, Leipzig, Germany. Matthias.mehdorn@medizin.uni-leipzig.de.
Scientific reports
|December 5, 2023
概括
通过CT扫描识别的内脏肥胖是腹部破裂 (BA) 的重要危险因素,这是腹部手术后的一种严重并发症. 这一发现有助于对手术患者进行手术前风险分层.
科学领域:
- 手术并发症 手术并发症
- 放射学 放射学是一门学科.
- 肥胖问题研究研究
背景情况:
- 腹部破裂 (BA) 是腹部手术后的一种严重的术后并发症.
- 虽然肥胖是一个危险因素,但传统的指标,如BMI,不足以预测BA.
- CT衍生体质分析显示,预测肥胖相关并发症具有前景.
研究的目的:
- 调查CT衍生体质参数对术后BA的预测值.
- 为了比较内脏肥胖 (VO) 和皮下肥胖 (SCO) 作为BA的危险因素.
主要方法:
- 来自机构伤口登记册的患者的回顾性分析.
- 将92名患有BA的患者与32名没有BA的对照患者进行比较.
- CT图像分析以量化腹内 (内脏) 和皮下脂肪,随后进行单变量和多变量风险因素分析.
主要成果:
- 患有BA的患者在CT扫描上表现出明显较高的内脏肥胖 (VO) (p < 0.001),但较低的皮下肥胖 (SCO).
- VO和SCO都与BMI正相关,但与彼此相反相关.
- 多变量分析确定VO是术后BA的一个显著的独立风险因素 (OR 1.257;p = 0.003).
结论:
- 由手术前CT扫描评估的内脏肥胖是手术后腹部爆裂的主要危险因素.
- CT衍生的身体组成,特别是VO,为接受腹部手术的患者的风险分层提供了有价值的信息.
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