用并发症严重程度分类来评估马手术后的长期术后发病率和生存率
Marco Gandini1, Gessica Giusto1
1Department of Veterinary Sciences, University of Turin, Turin, Italy.
The Veterinary record
|January 17, 2026
概括
结肠手术后马的长期存活率很好,但并发症很常见,影响结果. 马术后并发症评分 (EPOCS) 有助于评估这些风险.
科学领域:
- 马类手术是马类的手术.
- 兽医内科 兽医内科
- 手术瘤学手术瘤学
背景情况:
- 有限的数据存在于长期的结果和退院后患病率在结肠手术后的马.
- 缺乏一个标准化的系统,以将短期和长期并发症与生存相结合.
- 这项研究解决了对结肠手术结果进行全面评估的需要.
研究的目的:
- 评估手术后马的长期存活率和发病率.
- 使用马类术后并发症评分 (EPOCS) 进行发病率评估.
- 为了确定EPOCS得分与长期存活率之间的关联.
主要方法:
- 追溯审查经过结肠外科手术的马的医疗记录 (2017年1月 - 2021年3月).
- 通过电话采访进行的长期随访 (≥4年).
- 使用马匹术后并发症评分 (EPOCS) 系统得分并发症.
主要成果:
- 在244匹马中,有203匹被释放,176匹有后续数据.
- 在44.8%的马匹中观察到出院后的并发症,复发性结肠是最常见的.
- 较高的放出前EPOCS (r = -0.25) 和总EPOCS (r = -0.19) 与较低的长期存活率显著相关.
结论:
- 经过结肠直肠手术的马的长期生存通常是有利的.
- 手术后并发症很常见,并显著影响长期生存预后.
- EPOCS提供了一种结构化的方法来量化发病率,有助于未来对外科手术策略的比较研究.
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