风险评估 胃口出口阻塞 在直肠癌外科手术期间创建临时乳房静脉瘤时的发展
Chiharu Yasui1, Kyoichi Kihara1, Ryo Ishiguro1
1Division of Gastrointestinal and Pediatric Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University, Yonago, Japan.
像口腔出口阻塞 (SOO) 这样的临时静脉切除术并发症会影响直肠癌的恢复. 年龄,肌肉厚度和高口腔输出是SOO的主要风险因素,有助于早期预测.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
背景情况:
- 在下直肠癌手术中,使用临时静脉切除术来防止静脉切除术的泄漏.
- 胃口出口阻塞 (SOO) 是暂时性静脉切开术的潜在并发症.
- SOO可能导致长时间住院和延迟辅助化疗,对预后产生负面影响.
研究的目的:
- 在下直肠癌手术后,在患有暂时性静脉静止病的患者中,确定静脉静止病出口阻塞 (SOO) 的危险因素.
- 为SOO开发一个预测得分模型.
主要方法:
- 对107名因直肠癌而接受临时静脉切除术的患者 (2013-2023) 的回顾性审查.
- 与SOO和没有SOO的患者之间的临床病理学因素和短期结果的比较.
- 开发基于已识别的独立风险因素的预测评分模型.
主要成果:
- 胃口出口阻塞 (SOO) 在19.6%的患者中发生 (21/107),仅在男性中.
- SOO最常见的诊断是在术后的第六天.
- SOO的独立风险因素包括晚年 (≥67岁),直腹肌肌肉厚度增加 (≥13.5毫米) 和高口腔输出量 (>3天内每天1500毫升).
- 预测评分模型显示SOO的灵敏度为76.2%,特异性为89.5%.
结论:
- 年龄,男性性别,直腹肌的厚度,以及高的早期术后静脉产量是SOO的重要风险因素.
- 结合这些因素的预测评分模型可以帮助识别有SOO风险的患者.
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