摘要: |
目的:分析肺癌根治术后心肺并发症的危险因素,探讨肺超声评分对术后心肺并发症的预测价值。方法:纳入2022.06-2022.12择期行肺癌根治术患者132例,收集分析患者一般情况、临床信息及并发症情况。术前进行肺超声检查,采用12分区法,得出肺超声评分。根据患者是否发生心肺并发症,分为并发症组和无并发症组。通过Logistics回归明确心肺并发症发生的危险因素,通过ROC曲线构建了肺超声评分预测肺癌根治术患者术后并发症发生的预测模型。结果:心肺并发症发生率为12.1%。并发症组与无并发症组相比患者年龄、性别、手术方式、手术范围、肺超声评分差异有统计学意义(p<0.05),并发症组较无并发症组肺超声总分显著升高(11.0±6.9 vs 3.6±4.5分)。Logistics回归分析显示手术范围及肺超声评分是影响并发症发生的危险因素。通过ROC曲线分析发现肺超声评分预测肺癌根治术后心肺并发症发生的阈值为12.5分,AUC= 0.812,95% CI(0.687-0.938)。结论:肺超声评分预测肺癌根治术患者术后并发症发生的诊断效能较高,肺超声评分>12.5分时发生术后并发症的风险较大。 |
关键词: 肺超声评分 肺癌术后 心肺并发症 |
DOI:10.12025/j.issn.1008-6358.2023.20230508 |
分类号:R 563 |
基金项目:吴阶平医学基金会(320.6750.2022-21-20). |
|
A study of lung ultrasound scoring in predicting cardiopulmonary complications after radical lung cancer surgery |
Cao Wen-yue,Shen E,Ji Chun-yu,Luo Ji-zhuang,Liu Qi-zhi
|
Shanghai Chest Hospital, School of Medicine, Shanghai Jiao Tong University
|
Abstract: |
Objective: To analyze the risk factors of cardiopulmonary complications after radical lung cancer surgery, and to explore the value of lung ultrasound scoring in predicting postoperative cardiopulmonary complications. Methods: A total of 132 patients undergoing an elective radical operation for lung cancer were included in this study from 2022.06 to 2022.12. Basic characteristics, clinical information and complications of patients were collected and analyzed. A preoperative lung ultrasound examination was performed to obtain the lung ultrasound score through 12-zone method. According to the occurrence of cardiopulmonary complications, patients were divided into the complications group and the non-complications group. Logistics regression analysis were used to determine the risk factors of cardiopulmonary complications. ROC curve was used to construct the prediction model of lung ultrasound scoring to predict the occurrence of postoperative complications in patients undergoing radical resection of lung cancer. Results: The incidence of cardiopulmonary complications was 12.1%. There were statistically significant differences between the complication group and the non-complication group in age, gender, surgical method, surgical scope and lung ultrasound score (p < 0.05). The total lung ultrasound scores in the complication group were significantly higher than those in the non-complication group (11.0±6.9 vs 3.6±4.5 point). Logistics regression analysis showed that surgical scope and lung ultrasound scoring were risk factors for complications. ROC curve analysis showed that the threshold of lung ultrasound scoring for predicting the occurrence of cardiopulmonary complications after radical lung cancer surgery was 12.5 points, AUC= 0.812,95% CI(0.687-0.938). Conclusion: The diagnostic efficacy of lung ultrasound score in predicting postoperative complications in patients undergoing radical resection of lung cancer is higher, and the risk of postoperative complications is higher when the lung ultrasound score is greater than 12.5 points. |
Key words: lung ultrasound scoring, radical lung cancer surgery, cardiopulmonary complications |