RoSCo评分系统在腹腔镜肾部分切除术中的运用  

The application of Ro SCo score in the laparoscopic partial nephrectomy

作　　者：庄永江 蔡超[1] 张辉见[1] 彭佩丹 郑少斌[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》2017年第7期1109-1112,共4页The Journal of Practical Medicine

摘　　要：目的:探讨RoSCo评分系统和腹腔镜肾部分切除手术术后并发症的相关性。方法:回顾性研究2010~2015年127名行腹腔镜肾部分切除手术患者的相关临床指标。通过所有患者术前病例资料给予RoSCo评分,根据该评分分为RoSCo低评分组(3~4分)、RoSCo中评分组(5~6分)、RoSCo高评分组(7~8分)。分别研究RoSCo评分和腹腔镜肾部分切除手术术后并发症Clavein评分、手术时间、术中出血、热缺血时间、住院时间之间的相关性。结果:RoSCo评分和腹腔镜肾部分切除术术后并发症相关(P<0.05),并且与单纯RENAL评分相比较准确性更高。同时,术中出血、热缺血时间、住院时间、手术时间在RoSCo低、中、高组之间有统计学差异(P<0.05)。结论:RoSCo评分系统可以用于评估腹腔镜肾部分切除术后并发症的相关情况。Objective To investigate the association between the RoSCo scoring system and the postoperative complications of laparoscopic partial nephrectomy. Methods The clinical data of 127 patients with laparoscopic partial nephrectomy in our hospital from 2010 to 2015 were retrospectively analyzed. By studying all patients＇ preoperative clinical data, we give all the patients the RoSCo score, then divided all the patients into the RoSCo low group （3-4） , RoSCo moderate group （5-6）, RoSCo high group （7-8）. Respectively study the association be- tween the RoSCo score and Clavein score, operative time, intraoperative blood loss, warm ischemia time and length of hospital stay after laparoscopic partial nephrectomy. Results The RoSCo score was associated with post- operative complications of laparoseopie partial nephrectomy （P 〈 0.05） and was more accurate than the RENAL score alone. There were significant differences in bleeding, warm ischemia time, hospital stay and operation time between the low, middle and high groups of RoSCo （P 〈 0.05）. Conclusion The RoSCo scoring system can be used to assess the complications of laparoscopic partial nephrectomy.

关 键 词：肾肿瘤 肾部分切除术 RoSCo评分 术后并发症 

分 类 号：R737.11[医药卫生—肿瘤]