在患有高风险神经母细胞瘤的儿童中,sarcopenia与总psoas肌肉面积的减少
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Updated: Jul 23, 2026

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Posterior Approach for Debridement of the Psoas Abscess
Published on: March 2, 2020
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Min-Jung Bang1, Sanghoon Lee2, Ji Won Lee3
1Division of Pediatric Surgery, Ajou Medical Center, University of Ajou College of Medicine, Suwon, South Korea.
Asian journal of surgery
|March 22, 2024
概括
在高风险神经母细胞瘤患者治疗后,psoas肌肉区域 (PMA) 的z-score显著下降. 这种下降与更长的住院时间和感染风险增加相关,突出显示了sarcopenia.
科学领域:
- 儿科瘤学 儿科瘤学
- 放射学 放射学是一门学科.
- 麻症研究研究 麻症研究
背景情况:
- 在高风险神经母细胞瘤患者中评估肉类是了解治疗影响的关键.
- 肌区域 (PMA) 的z-score作为这个队列中萨尔科佩尼亚评估的指标.
研究的目的:
- 在接受治疗的高风险神经母细胞瘤患者中计算PMAz分数.
- 为了检查这种患者群体中肉类的临床意义.
主要方法:
- 在2005-2019年期间接受治疗的神经母细胞瘤患者 (0-18岁) 的回顾性分析.
- 总PMA (tPMA) z分数的计算,使用诊断时的CT图像和自主干细胞移植 (HDCT/自动SCT) 后的高剂量化疗.
主要成果:
- 平均tPMAz-score在治疗后显著下降,从-0.21降至-0.66 (p=0.022).
- tPMA z-score 的较大下降与显著更长的住院时间相关 (p=0.049).
- 诊断时的肉类是治疗期间细菌感染的重要危险因素.
结论:
- 神经母细胞瘤治疗,包括化疗和HDCT/自动SCT,导致tPMAz-score显著下降.
- 在治疗过程中恶化的肉症与长时间住院治疗有关.
- 早期发现肉类可能有助于管理治疗并发症.
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