一个低预后营养指数水平,一个独立预测器,术后腹腔内,在拉巴罗镜尾切除术后
Yijian Yuan1, Yanhua Tang, Yubin Liu
1Department of General Surgery, The Fifth People's Hospital of Wujiang District, Suzhou City, Jiangsu Province, China.
Surgical laparoscopy, endoscopy & percutaneous techniques
|October 2, 2024
概括
经过腹腔镜尾切除术的老年患者面临更高的腹内 (IAA) 风险,如果他们有穿孔尾炎或低预后营养指数 (PNI). 识别这些风险因素对于改善患者的治疗结果至关重要.
科学领域:
- 手术并发症 手术并发症
- 老年人手术是一门老年手术.
- 胃肠道手术 胃肠道手术
背景情况:
- 腹腔内 (IAA) 是老年患者腹腔镜尾切除术后的常见和严重并发症.
- 识别IAA的风险因素对于改善患者预后和外科手术结果至关重要.
研究的目的:
- 在腹腔镜尾切除术后,在老年患者中确定腹腔内 (IAA) 的独立风险因素.
- 分析人口,临床和实验室数据,预测IAA的发展.
主要方法:
- 对2015年至2024年间接受了腹腔镜尾切除术的老年患者的回顾性分析.
- 多变量物流回归分析以确定IAA的独立风险因素.
- 接收器操作特征 (ROC) 曲线分析以确定白细胞计数和预后营养指数 (PNI) 的预测值.
主要成果:
- IAA的发生率为9.6% (37/385名患者).
- 穿孔性尾炎 (OR: 2.48) 和较低的预后营养指数 (PNI) 评分 (OR: 3.44) 被确定为IAA的独立风险因素.
- PNI (截止值:41.95) 和白细胞计数 (截止值:13.35) 显示了IAA的预测值.
结论:
- 穿孔性尾炎的老年患者患IAA的风险增加后透镜尾切除术.
- 预后营养指数 (PNI) 分数低于41.95是该患者组IAA的显著预测指标.
- 早期识别这些危险因素可以指导预防策略,并改善腹腔镜尾切除术并发症的管理.
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