中国肿瘤外科杂志2025，Vol.17Issue(2)：120-124,5.DOI:10.3969/j.issn.1674-4136.2025.02.003
内脏肥胖指数与结直肠癌手术疗效、预后及早期炎症性肠梗阻的关联
Association of visceral obesity index with surgical efficacy,prognosis and early inflammatory bowel obstruction in colorectal cancer
摘要
Abstract
Objective To analyze the association of visceral obesity index(VAI)with the surgical efficacy,prognosis and early inflammatory bowel obstruction in colorectal cancer.Methods A total of 100 patients with colorectal cancer who received laparoscopic surgery in Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University from January 2021 to December 2023 were selected.With the median VAI as the dividing point,patients were divided into high VAI group and low VAI group,and clinical data of the two groups were compared.In addition,the clinical efficacy,early inflammatory bowel obstruction and prognosis of the two groups were recorded and compared.ROC curve was used to analyze the value of VAI in predicting patients with early postoperative inflammatory bowel obstruction.Results There was no significant difference between high VAI group and low VAI group in gender,age,history of hypertension,history of diabetes,ECOG score,tumor location,TNM stage,degree of tumor differentiation,amount of blood loss,postoperative exhaust time,postoperative feeding time,length of hospital stay and other data(P>0.05).There were significant differences in body mass index(BMI),waist circumference,triglyceride,high density lipoprotein cholesterol,operation time and conversion rate to laparoscopic surgery between the two groups(P<0.05).The total effective rate of treatment in the high VAI group(78.00％)was slightly higher than that in low VAI group(72.00％)(P>0.05).The postoperative local recurrencerate(20.00％)anddistantmetastasis rate(16.00％)in high VAI group were slightly higher than those in low VAI group(16.00％and 14.00％)(P>0.05),while the incidence of early inflammatory bowel obstruction(28.00％)was significantly higher than that in low VAI group(10.00％)(P<0.05).ROC curve showed that the area under the curve of VAI was 0.860(0.787-0.933)(P<0.05),the sensitivity was 0.843,the specificity was 0.716,and the optimal cutoff value was 12.2,indicating that VAI had a high predictive value for patients with early postoperative inflammatory bowel obstruction.Conclusions When VAI is higher,it will increase the operation time and the risk of early postoperative inflammatory bowel obstruction in colorectal cancer patients,but it has no significant effect on the surgical efficacy and prognosis of patients.In addition,VAI has a high predictive value for early postoperative inflammatory bowel obstruction.关键词
内脏肥胖指数/结直肠癌/腹腔镜手术/体质指数/早期炎症性肠梗阻Key words
Visceral obesity index/Colorectal cancer/Laparoscopic surgery/Body mass index/Early inflammatory bowel obstruction引用本文复制引用
孙文轩,于淼,孟昕晶,路夷平..内脏肥胖指数与结直肠癌手术疗效、预后及早期炎症性肠梗阻的关联[J].中国肿瘤外科杂志,2025,17(2):120-124,5.基金项目
北京市医院管理中心2022年度培育计划(PZ2022008) （PZ2022008）
