老年评分系统(GSS)预测>65岁颅内脑膜瘤患者术后并发症的临床意义  

Clinical significance of geriatric score system(GSS)in predicting postoperative complications in patients with intracranial meningioma>65 years

作　　者：曹子轩 刘树利 刘镇楠 CAO Zixuan;LIU Shuli;LIU Zhennan(Department of Neurosurgery,Langfang People s Hospital,Langfang 065000,China)

机构地区：[1]廊坊市人民医院神经外科,河北廊坊065000

出　　处：《临床肿瘤学杂志》2024年第6期586-590,共5页Chinese Clinical Oncology

摘　　要：目的探讨老年评分系统(GSS)预测65岁以上颅内脑膜瘤患者手术后并发症的意义。方法对2012年至2023年期间79例接受过颅内脑膜瘤手术的患者进行回顾性研究。根据是否存在主要并发症将患者分为并发症组(n=25)和无并发症组(n=54)。分析GSS和脑膜癌临床病理特征的关系。采用Logistic回归模型分析影响术后并发症的因素。结果79例患者术前基线GSS为13.0(12.0,14.0)分。术后主要并发症的发生率为31.65%,患者住院时间、ICU住院时间、呼吸机使用天数显著增加(P<0.05)出现并发症患者GSS评分显著低于未出现并发症的患者,同时KPS≥80分的患者中GSS评分略低于KPS<80分的患者(P<0.05)。Logistic回归模型中,GSS是颅内脑膜瘤术后主要并发症的独立预测因素[HR(95%CI)=0.514(0.324~0.815);P=0.005]。结论在65以上的脑膜瘤患者中,术前完善GSS评估有利于全面评估患者身体机能,预测其术后并发症。Objective To investigate the significance of geriatric score system(GSS)in predicting postoperative complications of intracranial meningioma patients over 65 years old.Methods Seventy-nine patients who underwent surgery for intracranial meningioma between 2012 and 2023 were retrospectively studied.Patients were divided into a complication group(n=25)and a non-complication group(n=54)according to the presence or absence of major complications.The relationship between GSS and clinicopathological parameters was analyzed.Logistic regression model was used to analyze the influencing factors of postoperative complications.Results The preoperative baseline GSS of 79 patients was 13.0(12.0,14.0).The incidence of major postoperative complications was 31.65%,and the length of hospital stay,ICU stay and ventilator use days were significantly increased(P<0.05).The GSS score of patients with complications was significantly lower than that of patients without complications,and the GSS score of patients with KPS≥80 was slightly lower than that of patients with KPS<80(P<0.05).In Logistic regression model,GSS was an independent predictor of major postoperative complications of intracranial meningioma[HR(95%CI)=0.514(0.324-0.815);P=0.005].Conclusion In patients with meningioma over 65,the improvement of GSS assessment before surgery is beneficial to comprehensively evaluate the physical function of patients and predict the postoperative complications.

关 键 词：脑膜瘤 老年人 手术并发症 老年评分系统 

分 类 号：R739.41[医药卫生—肿瘤]