POSSUM评分系统及其改良方法预测人工关节置换的风险  

Effects of POSSUM Score System and its modification in evaluating post-operative risk for arthroplasties

作　　者：周密[1] 张树明[1] 傅捷[1] 陈福文[1] 乔林[1] 王奎友[1] 刘志刚[1] 

机构地区：[1]解放军第二炮兵总医院骨科,北京市100088

出　　处：《中国组织工程研究与临床康复》2011年第39期7396-7398,共3页Journal of Clinical Rehabilitative Tissue Engineering Research

摘　　要：背景:POSSUM及P-POSSUM评分已被证明是普通外科最为可靠并得到广泛应用的评分系统,但其在骨科领域、特别是人工关节置换方面的应用报道较少。目的:探讨POSSUM评分系统在预测人工关节置换后风险的价值。方法:选择2008-01/2010-10解放军第二炮兵总医院骨科收治的接受人工全髋关节置换、双极股骨头关节置换及全膝关节置换的患者186例,均为单侧关节置换。分别应用POSSUM及P-POSSUM评分系统预测置换并发症率和病死率。结果与结论:按照POSSUM评分预测,186例患者置换后30d内应有32例(17%)发生并发症,实际发生28例(15%),按照P-POSSUM评分预测,本组置换后30d内应有5例死亡(3%),实际发生2例(1%),两组相比,差异无显著性意义(P>0.05)。提示应用POSSUM及P-POSSUM评分系统预测置换并发症率和病死率与真实结果具有较强的一致性。BACKGROUND：It is important to predict the risks of arthroplasties before operation.Among the systems of prediction of morbidity and mortality,POSSUM and P-POSSUM scores have been proved to be the most reliable scoring systems.However,its application in arthroplasties is rarely reported.OBJECTIVE：To evaluate the value of POSSUM and P-POSSUM scores in predicting morbidity and mortality in patients undergoing arthroplasties.METHODS：From 2008-01 to 2010-10,186 patients underwent arthroplasties were studied retrospectively using POSSUM and P-POSSUM scoring systems to predict the morbidity and mortality.RESULTS AND CONCLUSION：There was no statistically difference between the patients with complications predicted by POSSUM（32 cases,17%） and the observed（28 cases,15%） within 30 days after implantation（P 0.05）.The observed deaths number（5 cases,3%） also had no significant difference from the predicted value by P-POSSUM（2 cases,1%）.POSSUM and P-POSSUM scoring systems showed satisfied predictive ability of morbidity and mortality.

关 键 词：POSSUM评分 P-POSSUM评分 预测 评估 关节置换 

分 类 号：R318[医药卫生—生物医学工程]