[1]张磊,胡卫列.肾上腺肿瘤评分系统的创立[J].中华腔镜泌尿外科杂志(电子版),2017,11(05):289-294.[doi:10.3877/cma.j.issn.1674-3253.2017.05.001 ]
 Zhang Lei,Hu Weilie..The establishment of a score system for adrenal tumors[J].,2017,11(05):289-294.[doi:10.3877/cma.j.issn.1674-3253.2017.05.001 ]
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肾上腺肿瘤评分系统的创立()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
11
期数:
2017年05期
页码:
289-294
栏目:
临床研究
出版日期:
2017-10-08

文章信息/Info

Title:
The establishment of a score system for adrenal tumors
作者:
张磊胡卫列
510010 广州军区广州总医院泌尿外科
Author(s):
Zhang Lei Hu Weilie.
Department of Urology,Guangzhou General Hospital of Gwuangzhou Military Command of Popte's Liberation Army of China,Guangzhou 510010, China
关键词:
肾上腺肿瘤 腹腔镜 评分系统
DOI:
10.3877/cma.j.issn.1674-3253.2017.05.001
摘要:
目的 创建肾上腺肿瘤评分系统,评估肾上腺肿瘤手术的难度和复杂性。方法回顾单中心同一术者实施后腹腔镜肾上腺肿瘤手术的466 例患者临床资料,对肿瘤的大小、与周围器官的边界、与腹腔大血管的边界、内分泌功能及体质量指数(BMI)进行量化,通过分析各因素与手术时间、术中出血量的相关性,筛选出具有相关性的指标创建肾上腺肿瘤评分(ATS)系统,并对该评分系统进行临床验证。结果 肿瘤的大小、周围器官的边界、腹腔大血管的边界、内分泌功能、BMI 与手术时间、术中出血量均有相关性(P<0.01)。ATS 与手术时间、术中出血量均有相关性(P<0.01),高、中、低复杂性评分组间的手术时间、术中出血量差异均有显著统计学意义(P<0.05)。结论 肾上腺肿瘤评分系统涵盖了影响肾上腺肿瘤手术的难度和复杂性的主要因素,对于术前评估具有重要的临床指导价值。

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备注/Memo

备注/Memo:
基金项目:2015 广州市科技计划一般项目(201510010242);2015 省自然博时启动项目(2015A030310474);
通讯作者:胡卫列,Email:Huwl-mr@vip.sina.com
更新日期/Last Update: 2017-10-25