论文部分内容阅读
目的探讨生理能力与手术应激评分系统(E-PASS)预测食管癌择期手术风险和术后早期并发症的临床应用价值。方法食管癌择期手术患者206例,比较有并发症组和无并发症组预测指标的差异,并确定综合风险分数(CRS)预警术后并发症的切点值。结果 206例患者中,术后并发症发生率为54.3%。并发症阳性组的术前生理学分数(PRS)、手术应激分数(SSS)及综合风险分数(CRS)均高于并发症阴性组,两组比较差异有统计学意义(P<0.05)。PRS、SSS及CRS的ROC曲线下面积分别为0.63、0.74和0.76。CRS预警术后并发症的切点值为0.40。结论E-PASS量表可较为准确的预测食管癌术后并发症的发生。
Objective To investigate the clinical value of E-PASS in predicting esophageal cancer risk at elective surgery and early postoperative complications. Methods A total of 206 patients with esophageal cancer undergoing elective surgery were enrolled in this study. The differences between the two groups were compared with those of the non-complication group and the cut-off value of the pre-warning complication after comprehensive risk score (CRS) was determined. Results Among 206 patients, the incidence of postoperative complications was 54.3%. Preoperative physiology score (PRS), operation stress score (SSS) and comprehensive risk score (CRS) in the positive group were higher than those in the negative group, the difference was statistically significant (P <0.05). The areas under the ROC curve for PRS, SSS and CRS were 0.63, 0.74 and 0.76, respectively. The cut-off value of CRS preoperative and postoperative complications was 0.40. Conclusion The E-PASS scale can predict the postoperative complications of esophageal cancer more accurately.