三种血栓风险评估表对脑胶质瘤术后下肢深静脉血栓栓塞症的预测价值  

Predictive value of three types of thrombosis risk assessment tables for deep venous thromboembolism of lower extremity after brain glioma surgery

作　　者：张宁 梁冬 Zhang Ning;Liang Dong(Department of Neurosurgery,The First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,Henan,China)

机构地区：[1]河南科技大学第一附属医院神经外科,河南洛阳471000

出　　处：《四川生理科学杂志》2024年第3期539-541,共3页Sichuan Journal of Physiological Sciences

摘　　要：目的:比较3种血栓风险评估预测脑胶质瘤术后下肢深静脉血栓栓塞症价值.方法:选取2019年7月至2022年12月在我院行脑胶质瘤手术的98例患者,根据有无下肢深静脉血栓栓塞症(Deep Venous Thrombosis,DVT)分为观察组(48例,发生DVT)与对照组(50例,未发生DVT),利用Padua、Caprini和Autar 3种血栓风险评估表进行评估,评价3种血栓风险评估表预测脑胶质瘤术后下肢DVT的临床价值.结果:观察组Padua、Caprini和Autar 3种血栓风险评估表评分均高于对照组(P<0.05);ROC曲线分析得出,Padua、Caprini和Autar 3种血栓风险评估表预测脑胶质瘤术后下肢DVT的AUC分别是0.744、0.732、0.839.结论:Padua、Caprini和Autar 3种血栓风险评估表对脑胶质瘤患者术后DVT发生均有一定预测价值,Autar评估表预测价值最高.Objective:To compare the value of three types of thrombosis risk assessment in predicting deep venous thromboembolism after brain glioma surgery.How:A total of 98 patients who underwent brain glioma surgery in our hospital from July 2019 to December 2022 were divided into the observation group(48 cases with DVT)and the control group(50 cases with no DVT)according to whether there was Deep Venous Thrombosis(DVT).Padua,Caprini and Autar were used to evaluate the clinical value of the three thrombus risk assessment tables in predicting lower limb DVT after brain glioma surgery.Results:The scores of Padua,Caprini and Autar in observation group were higher than those in control group(P<0.05).ROC curve analysis showed that the AUC of lower limb DVT after brain glioma surgery predicted by Padua,Caprini and Autar were 0.744,0.732 and 0.839,respectively.Conclusion:Padua,Caprini and Autar have certain predictive value for the occurrence of postoperative DVT in patients with glioma,and Autar has the highest predictive value.

关 键 词：血栓风险评估表 下肢深静脉血栓栓塞症 预测价值 脑胶质瘤 

分 类 号：R658.3[医药卫生—外科学]