改良评分系统对高龄结直肠癌患者腹腔镜术后并发症的预测价值分析  

Predictive Value of Modified Scoring System for Complications after Laparoscopic Surgery in Elderly Patients with Colorectal Cancer

作　　者：严晓东 陈群旋 彭导瑜 Yan Xiaodong;Chen Qunxuan;Peng Daoyu(Department of General Surgery,Xingning People's Hospital,Xingning 514500,Guangdong Province,China)

机构地区：[1]兴宁市人民医院普外科,广东兴宁514500

出　　处：《中国社区医师》2024年第11期51-53,共3页Chinese Community Doctors

摘　　要：目的:分析改良评分系统对高龄结直肠癌患者腹腔镜术后并发症的预测价值。方法:选取2020年9月-2021年1月于兴宁市人民医院行腹腔镜手术的高龄结直肠癌患者127例作为研究对象,统计术后并发症发生情况并分析改良评分系统评分预测并发症的价值。结果:127例患者中,术后发生并发症23例(18.11%),无并发症104例(81.89%)。有并发症组改良评分系统评分高于无并发症组,差异有统计学意义(P<0.001)。127例患者中,低危组57例,中危组46例,高危组24例。低危组与中危组术后并发症发生率比较,差异无统计学意义(P>0.05);高危组术后并发症发生率高于低危组、中危组,差异有统计学意义(P<0.001)。改良评分系统对高龄结直肠癌患者腹腔镜术后并发症有一定预测价值,差异有统计学意义(P<0.001)。结论:改良评分系统对高龄结直肠癌患者腹腔镜术后并发症有一定预测价值,可为临床早期采取预防措施提供指导。Objective:To analyze the value of modified scoring system in predicting complications after laparoscopic operation in elderly patients with colorectal cancer.Methods:A total of one hundred and twenty-seven elderly patients with colorectal cancer who underwent laparoscopic surgery in Xingning People's Hospital from September 2020 to January 2021 were selected as the study objects.The incidence of postoperative complications was statistically analyzed and the value of the improved scoring system in predicting complications was analyzed.Results:Among the 127 patients,23(18.11%)had postoperative complications and 104(81.89%)had no complications;the modified scoring system score of the group with complications was higher than that of the group without complications,and the difference was statistically significant(P<0.001);among the 127 patients,57 were in the low-risk group,46 were in the medium-risk group,and 24 were in the high-risk group;there was no significant difference in the incidence of postoperative complications between low-risk group and middle-risk group(P>0.05);the incidence of postoperative complications in high-risk group was higher than that in low-risk group and medium-risk group,and the difference was statistically significant(P<0.001);the modified scoring system has a certain predictive value for complications after laparoscopic surgery in elderly patients with colorectal cancer,and the difference is statistically significant(P<0.001).Conclusion:The improved scoring system has certain predictive value for complications after laparoscopic surgery in elderly patients with colorectal cancer,and can provide guidance for early clinical preventive measures.

关 键 词：结直肠癌 腹腔镜手术 改良评分系统 并发症 

分 类 号：R735.35[医药卫生—肿瘤]