临床肿瘤学杂志

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改良POSSUM评分在评估肺癌手术风险的应用价值

路东明,汪 栋,韩开宝,周 源,许 罡,刘 宏   

  1. 210002 南京 解放军八一医院全军肿瘤中心胸外科
  • 收稿日期:2012-07-31 修回日期:2012-08-04 出版日期:2012-11-30 发布日期:2012-11-30

Modified POSSUM score value in assessing the risk of lung cancer surgery

LU Dong-ming, WANG Dong, HAN Kai-bao, ZHOU Yuan, XU Gang, LIU Hong

  

  1. Department of Thoracic Surgery,Cancer Center of PLA, 81st Hospital of PLA,Nanjing 210002,China
  • Received:2012-07-31 Revised:2012-08-04 Online:2012-11-30 Published:2012-11-30

摘要: 目的 探讨改良POSSUM评分系统预测肺癌根治术后并发症发生率和病死率的价值。方法 回顾性分析2010年10月至2011年10月间在解放军八一医院胸外科行肺癌根治术的86例原发性肺癌患者的临床资料。术前患者均行改良POSSUM评分预测术后发生并发症和死亡的例数,并与实际发生并发症和死亡的例数进行比较。结果经改良POSSUM评分系统预测术后发生并发症的例数为29例,实际发生并发症的例数为32例,差异无统计学意义(P>0.05);预测术后死亡的例数为8例,实际死亡例数为2例,差异有统计学意义(P<0.05)。结论改良POSSUM评分系统可用于预测肺癌根治术后的并发症发生情况,但是对术后死亡可能存在过度预测。

Abstract:

Objective To explore the value of modifined POSSUM score in predicting complications and surgical mortality of patients received lung cancer radical surgery. MethodsThe clinical data of 86 patients with primary lung cancer performed radical thoracic surgery in the 81st hospital of PLA from October 2007 to October 2011 were analyzed retrospectively. The modifined POSSUM score was used to predict postoperative complications and the number of death cases and compared with the actual values. ResultsThe number of postoperative complications predicted by POSSUM score was 29; a number of practical complications was 32. There was no significant difference between them. The number of postoperative deaths predicted by POSSUM score was eight; in comparison,the actual number of deaths was two. There was significant difference between them(P<0.05). ConclusionThe modifined POSSUM score can be used to predict the postoperative complications of lung surgery patients,but the existence of death was over-predicted.

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