内脏脂肪面积CT测量值与腹腔镜结直肠癌根治术患者围手术期指标的关系  

Relationship between CT measurement of visceral fat area and perioperative indexes in patients undergoing laparoscopic radical resection of colorectal cancer

作　　者：郭磊 GUO Lei(CT Room,Affiliated Hospital of Wanxi Health Vocational College,Lu’an Anhui 237000,China)

机构地区：[1]皖西卫生职业学院附属医院CT室,安徽六安237000

出　　处：《临床与病理杂志》2022年第7期1558-1563,共6页Journal of Clinical and Pathological Research

摘　　要：目的:探讨内脏脂肪面积(visceral fat area,VFA)CT测量值与腹腔镜结直肠癌根治术患者围手术期指标的内在关系。方法:回顾性分析2019年4月至2021年8月在皖西卫生职业学院附属医院接受腹腔镜根治术治疗的82例结直肠癌患者相关资料,术前均接受全腹部CT检查,并依据VFA的CT测量值,将VFA≥100 cm^(2)、VFA<100 cm^(2)患者归类记为内脏性肥胖(visceral obesity,VO)组(n=39)与内脏非肥胖(visceral non obesity,VNO)组(n=43)。比较分析两组围手术期相关指标。结果:VO组BMI大于VNO组,手术时间、住院时间长于VNO组,吻合口瘘发生率、总并发症发生率均高于VNO组,淋巴结检出数量少于VNO组,差异均有统计学意义(均P<0.05)。结直肠癌患者VFA与BMI呈中度正相关(r=0.627,P<0.05)。年龄(OR=2.417,95%CI:1.103~4.812)、VFA(OR=3.412,95%CI:1.326~5.976)是结直肠癌患者发生手术并发症的独立影响因素(P<0.05),BMI与手术并发症发生无明显相关性(P>0.05)。结论:VFA≥100 cm^(2)会延长腹腔镜结直肠癌根治术的手术时间和住院时间,增加淋巴结检出难度和手术并发症风险,临床需予以重视。Objective:To investigate the internal relationship between CT measurement of visceral fat area(VFA)and perioperative indexes in patients undergoing laparoscopic radical resection of colorectal cancer.Methods:The data of 82 patients with colorectal cancer who underwent laparoscopic radical resection in the Affiliated Hospital of West Anhui Vocational College of Health from April 2019 to August 2021 were analyzed retrospectively.All patients underwent total abdominal CT examination before operation.According to the CT measurement value of VFA,39 patients with VFA≥100 cm2 and 43 patients with VFA<100 cm2 were classified as a visceral obesity(VO)group and a visceral non-obesity(VNO)group respectively.The perioperative related indexes of the two groups were compared and analyzed.Results:The BMI of the VO group was higher than that of the VNO group,the operation time and hospital stay were longer than those of the VNO group,the incidence of anastomotic leakage and the total complication rate were higher than those of the VNO group,and the number of lymph nodes was less than that of the VNO group(all P<0.05).There was a moderate positive correlation between VFA and BMI in patients with colorectal cancer(r=0.627,P<0.05).Age(OR=2.417,95%CI:1.103-4.812)and VFA(OR=3.412,95%CI:1.326-5.976)were independent influencing factors of surgical complications in patients with colorectal cancer(P<0.05).BMI was not significantly associated with surgical complications(P>0.05).Conclusion:VFA≥100 cm2 will prolong the operation time and hospital stay of laparoscopic radical resection of colorectal cancer,increase the difficulty of lymph node detection and the risk of surgical complications.

关 键 词：结直肠癌 腹腔镜根治术 内脏脂肪面积 CT测量值 围手术期 并发症 

分 类 号：R735.34[医药卫生—肿瘤]