腹腔镜外科杂志2017，Vol.22Issue(11)：850-854,5.DOI:10.13499/j.cnki.fqjwkzz.2017.11.850
上尿路肿瘤患者腹腔镜术后静脉血栓栓塞症的临床预测模型
Clinical prediction model of venous thromboembolism after laparoscopic surgery in patients with upper urinary tract tumor
摘要
Abstract
Objective:To investigate the clinical indexes of perioperative period in patients with upper urinary tract cancer and construct predictive model to evaluate predictive value of the variate for venous thromboembolism (VTE).Methods:Patients with upper urinary tract tumor who underwent laparoscopic surgery were accepted as the observational cohort from Jan.2014 to Jun.2017 in Xiangyang City Central Hospital.Clinical data were collected and the prognosis and outcome of VTE in 28 d after surgery were observed.According to the results of follow-up,risk indicators of VTE were predicted,the critical value of the relevant indicators was analyzed.Results:In this study,464 patients with upper urinary tract tumor who underwent laparoscopic surgery were included,of which VTE was found in 42 patients within 28 d after operation,no abnormalities were found in 422 patients during the corresponding period.Statistical analysis revealed that excessive body mass index (BMI),low ankle-brachial index (ABI),high CRUSADE score,long operating time and other factors can lead to increased risk of postoperative VTE.The specific critical indexes were BMI ≥ 26.42 kg/m2,ABI ＜ 92.46％,CRUSADE score ≥ 38.74,operation time ≥ 3.16 h.Conclusions:BMI,ABI,CRUSADE score and operation time are the independent risk factors of VTE after laparoscopic upper urinary tumor operation,and it has better predictive ability for VTE in patients with upper urinary tract tumor.关键词
上尿路肿瘤/腹腔镜检查/静脉血栓栓塞Key words
Upper urinary tract tumor/Laparoscopy/Venous thromboembolism分类
医药卫生引用本文复制引用
许明伟,孙晓松,石洪波..上尿路肿瘤患者腹腔镜术后静脉血栓栓塞症的临床预测模型[J].腹腔镜外科杂志,2017,22(11):850-854,5.基金项目
襄阳市科技局资助项目(编号:襄科计[2014]9号-3 （）
Zd201301) （）
