改良结肠渗漏评分对左结肠直肠手术病人吻合口漏的预测价值  

Predictive value of modified colonic leakage score for anastomotic leakage in patients undergoing left colorectal surgery

作　　者：胡明玉[1] 苗祥 潘书鸿 HU Mingyu;MIAO Xiang;PAN Shuhong(Department of General Surgery,Anqing Municipal Hospital,Anqing 246003,China)

机构地区：[1]安徽省安庆市立医院普外科,246003

出　　处：《临床外科杂志》2022年第2期175-178,共4页Journal of Clinical Surgery

摘　　要：目的 探讨改良结肠渗漏评分对左结肠直肠手术病人吻合口漏的预测价值。方法 前瞻性选取2016年1月~2020年12月于我院行左结肠直肠手术的病人150例,所有病人均接受左结肠直肠手术及术后吻合,收集病人术前、术中及术后临床资料,术后随访30天,150例病人中,5例因不同原因失访,失访率3.33%,共计145例完成随访。其中17例发生吻合口漏,为发生组,为发生漏128例为未发生组。比较两组病人改良结肠渗漏评分差异,并建立改良结肠渗漏评分预测模型,分析该预测模型的预测效能。结果 145例左结肠直肠手术病人改良结肠渗漏评分为1~20分,平均(9.54±2.89)分,其中发生组得分为10~20分,平均(14.78±3.45)分;未发生组得分1~14分,平均(7.89±2.01)分;发生组改良结肠渗漏评分高于未发生组,比较差异有统计学意义(P<0.05)。ROC曲线分析显示,改良结肠渗漏评分预测左结肠直肠手术病人术后吻合口漏发生风险的AUC为0.967。结论 改良结肠渗漏评分预测模型预测左结肠直肠手术病人吻合口漏发生风险有较高效能,是预测左结肠直肠手术病人吻合口漏发生的有效工具。Objective To explore the predictive value of modified colonic leakage score for anastomotic leakage in patients undergoing left colorectal surgery.Methods Prospectively selected 150 patients who underwent left colorectal surgery in our hospital from January 2016 to December 2020 as the research objects.All patients underwent left colorectal surgery and postoperative anastomosis.Patients were collected before and after surgery.Intraoperative and postoperative clinical data, a follow-up of 30 days after operation, 150 cases of 5 patients were lost to follow-up due to different reasons, the loss to follow-up rate was 3.33%,and a total of 145 patients completed the follow-up.Among them, 17 patients had anastomotic leakage, which was the occurrence group.The difference in the improved colon leakage score between the two groups was compared, and the improved colon leakage score prediction model was established to analyze the predictive performance of the prediction model.Results 145 patients with left colorectal surgery had a modified colonic leakage score ranging from 1 to 20 points, with an average of(9.54±2.89) points, of which the incidence group score was 10-20 points, with an average of(14.78±3.45) points;the non-occurring group The scores were 1-14 points, with an average of(7.89±2.01) points;the modified colonic leakage score of the occurrence group was higher than that of the non-occurring group(P<0.05).ROC curve analysis showed that the modified colonic leakage score predicted the AUC of the risk of anastomotic leakage in patients undergoing left colorectal surgery was 0.967.Conclusion The modified colonic leakage score prediction model has a high efficiency in predicting the risk of anastomotic leakage in patients undergoing left colorectal surgery, and is an effective tool for predicting the occurrence of anastomotic leakage in patients undergoing left colorectal surgery.

关 键 词：改良结肠渗漏评分 左结肠直肠手术 吻合口漏 预测价值 

分 类 号：R735.34[医药卫生—肿瘤]