临床预测模型在结直肠癌术后并发症中的应用现状  

Application of Clinical Prediction Models for Postoperative Complications of Colorectal Cancer

作　　者：林浩 胡婷 王朝樣 张海宝[1] 巨家华 俞永江 LIN Hao;HU Ting;WANG Chaoyang;ZHANG Haibao;JU Jiahua;YU Yongjiang(The First Clinical Medical College of Lanzhou University,Lanzhou 730000,China;Department of Gastrointestinal and Hernia and Abdominal Wall Surgery,The First Hospital of Lanzhou University,Lanzhou 730000,China)

机构地区：[1]兰州大学第一临床医学院,兰州730000 [2]兰州大学第一医院胃肠及疝与腹壁外科,兰州730000

出　　处：《肿瘤防治研究》2023年第9期908-912,共5页Cancer Research on Prevention and Treatment

基　　金：甘肃省科技计划项目(21JR1RA075)。

摘　　要：结直肠癌(CRC)术后并发症是患者术后死亡的主要原因,严重影响患者的术后生活质量及生存时间。临床预测模型在CRC术后并发症中的应用,有助于早期识别高危患者并积极采取合理的干预措施,以降低CRC术后并发症的发生率,为改善患者预后提供科学依据。本文通过收集近几年国内外CRC术后并发症危险因素分析及预测模型构建有关文献进行综述,总结临床预测模型在CRC术后并发症中的评估内容及效能,分析其优势与不足。旨在为后续优化模型并制定临床实用性强且具有普适性的CRC术后并发症风险筛查工具提供参考依据。Postoperative complications of colorectal cancer(CRC)are the main cause of postoperative death and seriously affect the quality of life and survival time of patients.The application of a clinical prediction model for postoperative complications of CRC can help promptly identify high-risk patients.Accordingly,reasonable intervention measures can be actively taken to reduce the incidence of postoperative complications of CRC.A scientific basis can also be provided to improve the prognosis of patients.In this work,literature on the risk-factor analysis and prediction-model construction of postoperative complications of CRC at home and abroad in recent years was collected and reviewed.The evaluation content and efficiency of the clinical prediction models in postoperative complications of CRC were summarized.Their advantages and disadvantages were also analyzed.The purpose of this study was to provide a reference for the subsequent optimization of such models and the development of a strong,clinically practical,and universal risk-screening tool for postoperative complications of CRC.

关 键 词：结直肠癌 并发症 临床预测模型 危险因素 

分 类 号：R619[医药卫生—外科学] R735.3[医药卫生—临床医学]