内脏脂肪面积CT测量值对结直肠癌患者腹腔镜根治术相关指标的影响  

Influence of CT Measurement Value of Visceral Fat Area on Related Indicators of Laparoscopic Radical Resection in Patients with Colorectal Cancer

作　　者：龚建平 Gong Jianping(Department of General Surgery,Xinyu Yushui District Maternal and Child Health Hospital,Xinyu Jiangxi 338000,China)

机构地区：[1]新余市渝水区妇幼保健院普外科,江西新余338000

出　　处：《医疗装备》2022年第15期107-110,共4页Medical Equipment

摘　　要：目的探讨内脏脂肪面积(VFA)CT测量值对结直肠癌患者腹腔镜根治术相关指标的影响。方法回顾性分析2018年4月至2021年10月于医院普外科行腹腔镜根治术的81例结直肠癌患者的临床资料,依据术前VFA CT测量值,分为A组(VFA≥100 cm^(2),38例)和B组(VFA<100 cm^(2),43例),比较两组一般资料和围手术期相关指标,并采用多因素Logistic回归分析结直肠癌患者腹腔镜根治术后发生并发症的危险因素。结果A组体质量指数(BMI)高于B组,差异有统计学意义(P<0.05);两组其他一般资料比较,差异无统计学意义(P>0.05)。A组淋巴结清扫数量少于B组,术后住院时间长于B组,并发症总发生率高于B组,差异均有统计学意义(P<0.05)。多因素Logistic回归分析显示,VFA是结直肠癌患者腹腔镜根治术后发生并发症的危险因素(OR=2.037,95%CI=1.206~4.259)。结论与CT测量VFA<100 cm^(2)相比,VFA≥100 cm^(2)可能会增加结直肠癌患者腹腔镜根治术后淋巴结清扫难度,延长住院时间,提高并发症发生风险,并在一定程度上降低手术获益。Objective The influence of CT measurement value of visceral fat area(VFA)on related indicators of laparoscopic radical resection in patients with colorectal cancer was explored.Methods The clinical data of 81 patients with colorectal cancer treated by laparoscopic radical resection in the department of general surgery of the hospital from April 2018 to October 2021 were analyzed retrospectively.According to the CT measurement value of preoperative VFA,they were divided into group A(VFA≥100 cm^(2),38 cases)and group B(VFA<100 cm^(2),43 cases).The baseline data and perioperative related indicators of the two groups were compared,and the risk factors of complications after laparoscopic radical resection of colorectal cancer were analyzed by multivariate Logistic regression.Results The body mass index(BMI)in group A was higher than that in group B,with statistically significant difference(P<0.05),and there was no significant difference in other baseline data between the two groups(P>0.05).The number of lymph node dissections in group A was less than that in group B,the postoperative hospital stay was longer than that in group B,and the total incidence of complications was higher than that in group B,with statistically significant differences(P<0.05).Logistic regression analysis showed that VFA was an independent risk factor for complications in patients undergoing laparoscopic radical resection of colorectal cancer(OR=2.037,95%CI=1.206~4.259).Conclusion Compared with VFA<100 cm^(2)measured by CT,VFA≥100 cm^(2)may increase the difficulty of lymph node dissection in laparoscopic radical resection of colorectal cancer,prolong the length of hospital stay,increase the risk of postoperative complications and reduce the benefit of operation to a certain extent.

关 键 词：结直肠癌 腹腔镜根治术 内脏脂肪面积 围手术期指标 

分 类 号：R735.35[医药卫生—肿瘤]