摘要
目的应用POSSUM评分对老年胃肠道肿瘤患者手术风险进行评估,以评价该评分的临床有效性,同时对多个手术风险的单因素进行分析,为临床治疗决策提供参考。方法对234例手术的老年胃肠道肿瘤患者进行POSSUM评分,同时统计术后实际并发症和死亡率,并与评分预测值进行比较,就有可能产生并发症和死亡的多个单因素进行比较分析。结果POSSUM评分预测并发症和死亡率分别为33.8%和6.8%,与实际并发症(26.1%)和死亡率(4.7%)较为接近;单因素比较分析显示5个单因素与并发症的产生有关联,2个单因素与患者死亡有关联。结论POSSUM评分系统可以较好地预测老年胃肠道肿瘤患者术后并发症和死亡率;5个手术风险的单因素应引起临床医师的高度重视。
Objective By using physiological and operative score for the enumeration of mortality and morbidity （POSSUM） grade to estimate the operation risk of the senile gastrointestinal tumor patients, and then verify the reliability of the grade, and to analyze the multiple single factors of the operation risk in order to get treatment reference. Methods The POSSUM grade was calculated in the 234 senile gastrointestinal tumor patients after operation, and the actual complication and mortality were analyzed and compared with the forecasting rate. The multiple single factors that were possible related to the complication and death were analyzed. Results The forecast - complication rate and mortality were 33.8 % and 6.8 % respectively, which was close to the actual results in 234 patients, 26.1% and 4.7 % respectively. Single factor analysis revealed that 5 single factors have the relationship to the complications, and 2 single factors have the relationship to the death. Conclusion POSSUM grade can forecast the postoperative complication and mortality of the senile gastrointestinal tumor patients. Clinical physicians should play an attention to 5 single factors of the operation risk.
出处
《临床外科杂志》
2006年第7期420-422,共3页
Journal of Clinical Surgery
