论文部分内容阅读
目的探讨P-POSSUM评分系统对预测60岁以上老年患者肝癌切除术风险的价值。方法对4年间接受肝癌切除术年龄>60岁的382例肝癌患者的临床资料回顾性分析,应用P-POSSUM评分系统评分计算并发症和病死率,并与同期≤60岁的649例患者进行比较。结果 P-POSSUM评分系统预测>60岁老年组的并发症发生率为43.71%(167/382),病死率为7.59%(29/382),而实际发生的并发症为38.22%(146/382),病死率为4.97%(19/382)(均P>0.05)。而对≤60岁组的并发症率和病死率预测率均显著高于实际发生率(均P<0.05)。结论围手术期P-POSSUM评分系统能较准确地预测老年肝癌患者术后并发症发生率和手术病死率;该系统可用于临床指导>60岁患者的围手术期处理。
Objective To investigate the value of P-POSSUM scoring system in predicting the risk of liver cancer resection in elderly patients over 60 years old. Methods The clinical data of 382 patients with hepatocellular carcinoma undergoing resection of liver cancer aged> 60 years for 4 years were retrospectively analyzed. The P-POSSUM score system score was used to calculate the complication and mortality and compared with 649 patients who were ≤60 years old . Results The P-POSSUM score system predicted that the incidence of complications in the 60-year-old group was 43.71% (167/382) and the case fatality rate was 7.59% (29/382), while the actual complication rate was 38.22% (146/382 ), The case fatality rate was 4.97% (19/382) (all P> 0.05). However, the predictive rates of morbidity and mortality in patients ≤60 years of age were significantly higher than those of the actual rate (all P <0.05). Conclusion The perioperative P-POSSUM scoring system can predict the incidence of postoperative complications and mortality in elderly patients with hepatocellular carcinoma more accurately. The system can be used in the clinical management of perioperative management of patients aged> 60 years.