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在接受门诊修复的老年患者的术后血清基预测

Yabin Zhu¹, Yunxiang Li¹, Hailin Xing¹

¹Department of Anesthesiology, The Affiliated Taizhou People's Hospital of Nanjing Medical University, Taizhou School of Clinical Medicine, Nanjing Medical University, No. 366, Taihu Road, Taizhou City, 225300, Jiangsu Province, China.

American journal of surgery

|August 20, 2025

概括

一种新型的诺米图模型准确地预测了手术后血清瘤的风险. 关键因素包括BMI,抗凝剂使用,SII和PNI,有助于风险分层和预防策略.

科学领域:

外科瘤学
老年人手术
临床预测模型

背景情况:

术后血清瘤是老年人门诊手术后的常见并发症.
识别风险因素和开发预测工具对于改善患者的结果至关重要.

研究的目的:

在接受门诊手术的老年患者中探索术后血清瘤的潜在风险因素.
构建和验证血清瘤发生的预测模型.

主要方法:

分析了一组接受 Lichtenstein 门诊无张力瘤手术的老年患者.
多变量回归确定了独立的风险因素.
使用R构建并验证了一个名图,用ROC曲线评估预测准确性.

主要成果:

在340名患者中,有35名患者 (10. 3%) 患有血清瘤.
确定了独立的危险因素:BMI≥24. 0,使用抗凝药物,SII≥892. 5,PNI<50. 4.
诺米图的AUC值为0. 848 (内部) 和0. 903 (外部验证).

结论:

一个包含BMI,抗凝剂使用,SII和PNI的诺姆图显示了术后血清瘤的强大预测能力.
这种模式可以帮助识别高风险的老年患者进行有针对性的预防策略.

关键词:

门诊性瘤手术年长者编号模型风险因素

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