控制營(yíng)養(yǎng)狀態(tài)評(píng)分在預(yù)測(cè)機(jī)器人輔助食管癌根治術(shù)后并發(fā)癥中的應(yīng)用

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中圖分類號(hào) R571 文獻(xiàn)標(biāo)識(shí)碼 A文章編號(hào) 2096-7721(2025)04-0660-07
Prognostic value of CONUT score in predicting postoperative complications following robot-assisted McKeown esophagectomy
JI Yuxing1,2, CAO Xiong1,2,SU Jiacheng1,2, HAN Biao1,2 (1.TheFirstClicalMdicalCollgeofLanzouUvesityLanzouo3,Cina;2.Dpamentoforacicrgeryt Hospital of Lanzhou University/TheInternational Science and Technology Cooperation Base for Development and Applicationof Key Technologies in Thoracic Surgery,Lanzhou 73oo3o, China)
AbstractObjective:Toinvestigatethepredictivevalueof thepreoperative Controling Nutritional Status(CONUT)score for postoperativeomplicationsinpatientsundergoingobot-asistedMKeoesohagectomy (RAME).Methods:Aretrospectiveaalsis wasperformedo2O3patientswhounderwentRAMEattheFirstHospitalofLanzhou UniversityfromMarch2O19toMarch2O24.Patints were divided into the high-CONUT group( ? 3 points, n =34) and the low-CONUT group( points, n=1 6 9 )based on preoperative CONUT scores.Clinicalcharacteristicsandpostoperatieomplicatioswerecomparedetwntegroupsofpatnts.Lgsticgressaalysis wasusedtoidentifyiskfactorsforcomplications.Results:Thehigh-CONUTgroupshowedsignificantlyhigherincidenceofoveal postoperativeplatiosasomoticitureastootikaglralsiodrgialitetiompdtlo CONUT group ( P <0.05).Preoperativecholesterollevelsand CONUTscore were identifiedas potentialrisk factorsforcomplications,witha CONUT score ? 3 points serving as an independent predictor of postoperative complications for RAME ( P<0 . 0 5 ) . Conclusion: The CONUT scoreisarobust independentpredictorofcomplicationsflowingRAME,enablingpreciseandtimelyindividualizedintervetiosto improve patient prognosis.
Keywordsbstdurg;ooldrialStacoe;soealeoseaatiVa
食管癌是常見的上消化道惡性腫瘤,在全球癌癥發(fā)病率排名第七,總體死亡率排名第六[1]。(剩余12071字)