MAP肾周脂肪评分在肾部分切除手术中的运用  

Application of MAP scores in partial nephrectomy

作　　者：蔡超[1] 钟缔 龙其成 梁雁冰[1] 齐桓[1] 

机构地区：[1]南方医科大学南方医院泌尿外科,广州市510515

出　　处：《实用医学杂志》2015年第24期4037-4040,共4页The Journal of Practical Medicine

摘　　要：目的：探讨MAP肾周脂肪评分和肾部分切除手术有关临床指标之间的相关性。方法 ：回顾性研究本院2010-2014年127例行肾部分切除手术患者的相关临床指标。根据手术方式分为开放手术组（49例）和腹腔镜组（78例）,通过所有患者术前的CT结果给予MAP评分,根据该评分分为MAP低评分组（0-1分）、MAP中评分组（2-3分）、MAP高评分组（4-5分）。分别研究开放手术和腹腔镜手术中MAP低、中、高评分组之间身高、体重、手术时间、术中出血、肾热缺血时间、肿瘤大小、住院时间、Clavien评分、BMI等临床指标的差异。结果：开放手术组中MAP低、中、高评分组之间各项指标比较差异均无统计学意义（P〉0.05）。腹腔镜手术组中MAP低、中、高评分组之间手术时间、术中出血、住院时间和Clavien评分差异均有统计学意义（P〈0.05）。结论：MAP评分可以用于评估腹腔镜下肾部分切除术的相关临床指标,但是该评分可能不适用于开放手术。Objective To explore the association of MAP scores with the clinical indicators of partial nephrectomy. Methods The clinical data on 127 patients who had undergong partial nephrectomy in our hospital from 2010 to 2014 were retrospectively analyzed. According to the procedure modes, the patients were divided into open surgery group （49 patients） and laparoscopic surgery group （78 patients）. By studying preoperative CT images, we scored the patients using MAP, then divided them into low-MAP group （0-1）, moderate-MAP group （2-3）,and high-MAP group（4-5）. The differences in height, weight, surgical duration, intraoperative bleeding, kidney warm ischemia time, tumor size, length of hospital stay, Clavien score, and BMI among low-, moderate- and high-MAP group receiving open or laparoscopic surgery. Results There were no statistically differences in all the clinical indicators for open surgery （P 〉 0.05）. For laparoscopic surgery, there were statistical differences in surgical duration, intraoperative bleeding, length of hospital stay, and Clavien score among low-, moderate-, and high-MAP group （P 〈 0.05）. Conclusion MAP score can be used to evaluate the relevant clinical indicators in laparoscopic partial nephrectomy, but it may not be suitable in open surgery.

关 键 词：MAP肾周脂肪评分 肾部分切除术 肾周脂肪 

分 类 号：R737.11[医药卫生—肿瘤]