中华普通外科杂志
中華普通外科雜誌
중화보통외과잡지
CHINESE JOURNAL OF GENERAL SURGERY
2015年
6期
447-450
,共4页
喻学桥%周卫平%蔡国豪%方壮伟%王清华%黄有群%彭永红%袁波%叶木林
喻學橋%週衛平%蔡國豪%方壯偉%王清華%黃有群%彭永紅%袁波%葉木林
유학교%주위평%채국호%방장위%왕청화%황유군%팽영홍%원파%협목림
结直肠肿瘤%手术后并发症%预测%结直肠漏评分
結直腸腫瘤%手術後併髮癥%預測%結直腸漏評分
결직장종류%수술후병발증%예측%결직장루평분
Colorectal neoplasms%Postoperative complications%Forecasting%Colon Leakage Score
目的 评价结直肠漏评分(Colon Leakage Score,CLS)系统对左侧结直肠切除术后吻合口漏的预测价值.方法 以海南省人民医院胃肠外二科接受左侧结直肠切除术的304例结直肠癌患者为研究对象,根据术后是否发生吻合口漏将患者分为有吻合口漏和无吻合口漏两组,应用ROC曲线及Logistic回归评价CLS评分系统对吻合口漏发生的预测价值并确定预测临界值.结果 有吻合口漏组与无吻合口漏组的CLS评分差异有统计学意义(F =68.23,P＜0.001),ROC曲线下面积为0.965(CI:0.913～1.00),OR值为2.9(CI:1.59 ～4.83,P＜0.001),最佳临界值为“11”,预测敏感度和特异度分别为86.4％和87.2％.结论 CLS评分系统对左侧结直肠切除术后吻合口漏的发生具有良好的预测价值,CLS分值“11”可作为划分高低风险的最佳预测临界值.
目的 評價結直腸漏評分(Colon Leakage Score,CLS)繫統對左側結直腸切除術後吻閤口漏的預測價值.方法 以海南省人民醫院胃腸外二科接受左側結直腸切除術的304例結直腸癌患者為研究對象,根據術後是否髮生吻閤口漏將患者分為有吻閤口漏和無吻閤口漏兩組,應用ROC麯線及Logistic迴歸評價CLS評分繫統對吻閤口漏髮生的預測價值併確定預測臨界值.結果 有吻閤口漏組與無吻閤口漏組的CLS評分差異有統計學意義(F =68.23,P＜0.001),ROC麯線下麵積為0.965(CI:0.913～1.00),OR值為2.9(CI:1.59 ～4.83,P＜0.001),最佳臨界值為“11”,預測敏感度和特異度分彆為86.4％和87.2％.結論 CLS評分繫統對左側結直腸切除術後吻閤口漏的髮生具有良好的預測價值,CLS分值“11”可作為劃分高低風險的最佳預測臨界值.
목적 평개결직장루평분(Colon Leakage Score,CLS)계통대좌측결직장절제술후문합구루적예측개치.방법 이해남성인민의원위장외이과접수좌측결직장절제술적304례결직장암환자위연구대상,근거술후시부발생문합구루장환자분위유문합구루화무문합구루량조,응용ROC곡선급Logistic회귀평개CLS평분계통대문합구루발생적예측개치병학정예측림계치.결과 유문합구루조여무문합구루조적CLS평분차이유통계학의의(F =68.23,P＜0.001),ROC곡선하면적위0.965(CI:0.913～1.00),OR치위2.9(CI:1.59 ～4.83,P＜0.001),최가림계치위“11”,예측민감도화특이도분별위86.4％화87.2％.결론 CLS평분계통대좌측결직장절제술후문합구루적발생구유량호적예측개치,CLS분치“11”가작위화분고저풍험적최가예측림계치.
Objective To evaluate the Colon Leakage Score (CLS) in predicting the risk of anastomotic leakage in left-sided colorectal surgery.Methods 304 patients undergoing left-sided colorectal surgery were included in this retrospective study.The patients were divided into anastomotic leakage group and the group without anastomotic leakage.The predictive value of the CLS and the cut off value was assessed by performing operating characteristics and Logistic regression analysis.Results There are significant differences in the mean CLS sore between the leakage group and the group without leakage (P ＜ 0.001).The area under the curve (0.965,CI:0.913-1.00) and the odds ratio (2.9,CI:1.59-4.83,P ＜0.001) showed that the CLS was a good predictor of anastomotic leakage.We select CLS of 11 as the best cut off value.The sensitivity and specificity were 86.4％ and 87.2％ respectively.Conclusions The CLS can predict the risk of anastomotic leakage following left-sided colorectal surgery.CLS of 11 is the cut off value for distinguishing "high" from "low" risk.
