在复杂尾炎的腹腔镜尾切除术后,身体组成和切口手术部位感染之间的关联
Peng Yin1, Shigang Teng1, Haifeng Li1
1Department of Gastrointestinal Surgery, Jiaozhou Central Hospital of Qingdao, No. 99 Yunxihe South Road, Jiaozhou, Shandong Province, 266300, China.
BMC surgery
|October 9, 2024
概括
通过CT扫描测量的内脏脂肪区域 (VFA) 可以预测复杂的尾炎手术后的手术部位感染 (SSI). 使用VFA的诺米图有助于识别高风险患者,改善手术结果.
科学领域:
- 手术成果研究的研究结果.
- 在手术中进行医学成像.
- 腹部手术并发症 腹部手术并发症
背景情况:
- 手术部位感染 (SSI) 是腹腔镜尾切除术后的常见并发症.
- SSI导致医院住院时间延长和医疗保健费用增加.
- 在复杂的尾炎中确定SSI的危险因素至关重要.
研究的目的:
- 调查身体组成参数与切口SSI风险之间的关联.
- 评估复杂尾炎的腹腔镜尾切除术后SSI内脏脂肪区域 (VFA) 的预测值.
主要方法:
- 对411名因复杂尾炎而接受腹腔镜手术的患者进行了回顾性分析.
- 术前计算机断层扫描 (CT) 扫描用于导出身体组成参数,包括VFA.
- 基于独立的SSI预测器的预测名录的开发.
主要成果:
- 共有45名患者 (10.9%) 发生了切口SSI.
- 内脏脂肪区域 (VFA) 与切口SSI的风险增加有显著的关联 (HR 1.015,P < 0.001).
- 纳入VFA,糖尿病和转换为开放外科手术的nomogram显示出高预测准确度 (AUC = 0.793).
结论:
- 在复杂尾炎患者中,CT衍生的VFA是切口SSI的有价值预测因素.
- 基于VFA的诺米图可以帮助识别SSI高风险患者.
- 这种工具可以促进个性化的风险评估和管理策略.
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