在外科瘤学中评估骨肌肉的超声波:一个范围审查
Wariya Vongchaiudomchoke1, Ah-Reum Cho2, Ibtisam Mahmoud3
1Department of Anesthesia, McGill University Health Centre, Montreal, Quebec, Canada; Department of Anesthesia, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
概括
超声波在手术期间有效评估癌症患者的骨肌肉. 需要标准化的协议和切断点来进行一致的外科手术前肌肉评估.
科学领域:
- 在瘤学瘤学.
- 肌肉骨成像系统的成像
- 外科评估的评估.
背景情况:
- 骨肌肉消耗显著影响癌症患者的治疗结果.
- 超声波为肌肉评估提供了一种非侵入性方法.
- 之前的审查没有专注于术后超声波用于癌症患者的肌肉评估.
研究的目的:
- 绘制有关在外科手术期间癌症患者骨肌肉评估超声波使用的文献.
- 识别知识缺口,以便在该领域进行未来的研究.
主要方法:
- 在主要数据库 (Cochrane,Embase,Medline,Web of Science) 进行系统的文献搜索.
- 包括对接受癌症手术的成年人进行的初级研究,使用超声波进行外科手术期间的肌肉评估.
- 两个独立的审稿人对研究特征,人口,方案和结果进行数据提取.
主要成果:
- 包含了13项研究,主要评估了诸如肌肉厚度和大腿直肠的横截面积等定量参数.
- 超声波参数被验证为对抗萨尔科佩尼亚,虚弱,强度和生物标志物.
- 超声波显示了预测术后结果和评估干预措施的潜力,但注意到了协议的变化.
结论:
- 超声波是癌症患者术后骨肌肉评估的有效工具.
- 超声程序的显著变化和缺乏标准化的切断值需要进一步的研究.
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