摘要
目的:探讨术前预后营养指数(PNI)、前白蛋白(PAB)与食管癌患者术后并发症及预后的关系。方法:选取2019年9月至2021年10月在本院拟行胸腹腔镜根治术的60例食管癌患者,根据患者术后是否出现并发症分为并发症组和非并发症组,比较两组患者的一般资料及术前PNI和PAB,采用logistic回归分析食管癌患者术后并发症发生的危险因素。绘制ROC曲线,分析术前PNI、 PAB对食管癌患者术后并发症发生的预测价值。结果:60例患者术后有27例(45.00%)出现并发症。淋巴结转移、术前低PNI、术前低PAB是术后并发症发生的危险因素(P<0.05)。术前PNI、 PAB预测术后并发症发生的曲线下面积分别为0.787、0.676。结论:食管癌术后并发症发生风险较高,术前PNI、 PAB均具有预测食管癌术后并发症发生风险的价值。
Objective:To explore the relationships between preoperative predictive nutritional index(PNI),prealbumin(PAB) and postoperative complications and prognosis in patients with esophageal cancer.Methods:Sixty patients with esophageal cancer who planned to undergo thoracolaparoscopic radical surgery in our hospital from September 2019 to October 2021 were selected.They were divided into a complication group and a non-complication group based on whether they had postoperative complications.The general information,preoperative PNI,and preoperative PAB were compared between the two groups.Logistic regression analysis was used to analyze the risk factors for postoperative complications in patients with esophageal cancer.ROC curve was drawn to analyze the predictive value of preoperative PNI and PAB for postoperative complications in patients with esophageal cancer.Results:Of 60 patients,27(45.00%) ones experienced complications after surgery.Lymph node metastasis,low preoperative PNI,and low preoperative PAB were risk factors for postoperative complications(P<0.05).The area under the curve of preoperative PNI and PAB for the prediction of postoperative complications was 0.787 and 0.676,respectively.Conclusion:Patients with esophageal cancer have a higher risk of postoperative complications.Preoperative PNI and PAB have the value of predicting the risk of postoperative complications in these patients.
作者
王炎
王东方
靳红领
Wang Yan;Wang Dongfang;Jin Hongling(Department of Thoracic Surgery,Nanshi Hospital,Nanyang,Henan 473000,China)
出处
《现代临床医学》
2023年第6期410-413,共4页
Journal of Modern Clinical Medicine
基金
2019年度河南省医学科技攻关计划(联合共建)项目(LHGJ20191473)。
关键词
食管癌
术后并发症
预后营养指数
前白蛋白
预后
esophageal cancer
postoperative complications
predictive nutritional index
prealbumin
prognosis
