终末期肝病评分系统对腹腔镜胆囊切除术预测的评估  

APPLICATION OF MELD SCORING SYSTEM IN EVALUATING PROGNOSIS OF LAPAROSCOPIC CHOLECYSTECTOMY

作　　者：孙志德[1] 程利民[1] 平萍[1] 刘金龙[1] 张学军[1] 郝彦广 

机构地区：[1]承德医学院附属医院外一科,河北省承德市067000 [2]围场县中医院普外科

出　　处：《中国煤炭工业医学杂志》2016年第11期1581-1583,共3页Chinese Journal of Coal Industry Medicine

摘　　要：目的应用终末期肝病评分系统(MELD)评估不同预后的腹腔镜胆囊切除术(LC)患者,探讨该评分系统在LC中的临床应用价值。方法回顾性分析2014年1—12月于该院肝胆外科行LC的162例患者的临床资料,分析术前、术后MELD分值差异与LC术后患者预后的关系。结果 LC治疗后并发症组MELD评分分值明显高于无并发症组(P<0.05),MELD评分分值与并发症发生率呈正相关,MELD分值>30分者,3个月内并发症发生率为75.00%。结论 MELD评分分值与LC治疗预后的并发症发生率关系密切,呈正相关。MELD在评估LC治疗的预后中有较大临床价值。Objective To evaluate the prognosis of laparoscopic cholecystectomy （LC） by using model for end - stage liver disease （MELD） and to explore the clinical value of the scoring system in LC. MetbodsThe clinical data of 162 cases of LC from February 2014 to November 2014 in author＇s hospital were analyzed retrospectively. MELD scoring system was used to analyze the prognosis of LC patients preoperatively and postoperatively. Results The scores of cases with postoperative complications were higher remarkable than those without postoperative complications. The scores of MELD had positive correlation with the postoperative complication rate, and the rate within 3 months was 75. 00% among the cases, whose scores of MELD were greater than 30. Conclusions The scores of MELD in the cases after LC are closely correlated to the patients＇ prognosis, and MELD system showes a significant value in evaluating prognosis of LC.

关 键 词：MELD 腹腔镜胆囊切除术 术后并发症 预测 

分 类 号：R657.4[医药卫生—外科学]