患有妇科恶性瘤的患者的身体组成和术前和术后并发症:系统性审查
C Heus1, S Stelten2, G G Kenter3
1Amsterdam UMC, Department of Obstetrics and Gynaecologic Oncology Amsterdam (CGOA), Meibergdreef 9, 1105, AZ, Amsterdam, the Netherlands; Northwest Clinics Den Helder, Department of Gynaecology, Huisduinerweg 3, 1782GZ Den Helder, the Netherlands.
Gynecologic oncology
|August 25, 2024
概括
身体组成,特别是肌肉质量,与接受妇科癌症手术的女性手术后并发症的减少有关. 对脂肪组织和肌肉质量的进一步研究可以帮助预测手术风险.
科学领域:
- 在瘤学瘤学.
- 手术科学 手术科学
- 身体组成分析 身体成分分析
背景情况:
- 身体组成,而不仅仅是BMI,影响了手术结果.
- 一般外科的发现可能不适用于妇科癌症患者,因为身体组成的性别差异.
- 目前关于妇科癌症的身体组成和并发症的证据有限.
研究的目的:
- 在妇科癌症手术中系统地审查和综合身体组成和外科手术后并发症之间的联系的证据.
- 为了确定特定的身体组成参数,相关的手术结果在这个患者群体.
主要方法:
- 在2023年6月进行全面的数据库搜索 (PubMed,Embase,Cochrane Central).
- 包括研究报告的身体组成 (肌肉/脂肪质量) 和手术并发症在妇科癌症患者.
- 使用纽卡斯尔-太华尺度和最佳证据综合的质量评估.
主要成果:
- 中等证据表明,较高的肌肉质量/质量与手术后并发症减少有关.
- 强有力的证据表明,内脏脂肪和住院时间之间没有关联.
- 对于内脏脂肪和内/术后并发症,以及肌肉质量/质量和住院,存在不确定的证据,测量方法具有很高的异质性.
结论:
- 身体组成指标,特别是肌肉质量和脂肪组织,是预测妇科癌症手术中术后风险的潜在指标.
- 这些发现凸显了在外科手术风险分层中超越BMI评估身体成分的重要性.
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