| 摘要: |
| 目的 研究外科 Apgar 评分在胰腺癌患者手术术后风险评估中的价值及临床意义。 方法 回顾分析行胰十二指肠 切除术或全胰或胰体尾切除术的胰腺癌患者共 80 例，分析外科 Apgar 评分与患者术后病死率和并发症发生率间的相关性。 结果 80 例患者中死亡 3 例，病死率为 3.75%，死亡组与生存组间外科 Apgar 评分无统计学差异（P ＞0.05）。术后发生并发症的共 30 例
（37.50%），并发症组与无并发症组患者间外科 Apgar 评分具有统计学差异（P＜0.01）。从单个并发症来看，肺炎并发症与无肺炎并发 症患者间外科 Apgar 评分也有统计学差异（P＜0.01），而胸腔积液和胰漏并发症与无相应并发症患者间外科 Apgar 评分则无统计学 差异（均 P ＞0.05）。对不同手术方式分组后，行胰十二指肠切除术式的患者中并发症组与无并发症组间外科 Apgar 评分无统计学差 异（P ＞0.05）；而行全胰或胰体尾切除术式的患者中并发症组与无并发症组间外科 Apgar 评分有统计学差异（P＜0.001）。 结论 外 科 Apgar 评分有助于预测全胰或胰体尾切除术术后并发症的发生，特别是肺炎，但对患者病死率的预测帮助不大。 |
| 关键词: 外科 Apgar 评分 胰腺癌 胰十二指肠切除术 发病率 病死率 |
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| 基金项目:国家自然科学基金资助项目；国家卫生和计划生育委员会科研基金 |
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| Clinical value of surgical Apgar score in assessment of operative risk in patients with pancreatic cancer |
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Qian Yingming, ZHENG Sixin, CHEN Wenchao, DING Guoping, CAO Liping
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the Second Affiliated Hospital，Zhejiang University School of Medicine
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| Abstract: |
| Objective To investigate the clinical value of using surgical Apgar score in assessment of operative risk in patients with pancreatic cancer. Methods Clinical data of 80 patients undergoing pancreatoduodenectomy or distal pancreatectomy in our hospital during December 2006 to August 2012 were reviewed. The correlation of surgical Apgar score with postoperative mortality and morbidity was analyzed. Results Among 80 patients, 3 died after surgery with a mortality rate of 3.75%, there was no significant correlation between surgical Apgar score and postoperative mortality. Postoperative complications occurred in 30 cases (37.50%), there was significant difference in surgical Apgar score between patients with complications and those without complications (P＜0.01). The surgical Apgar score was closely correlated with the incidence of postoperative pneumonia(P＜0.01); but not correlated with pleural effusion and pancreatic leakage. Surgical Apgar score was correlated with the incidence of postoperative complications in patients receiving distal pancreatectomy(P＜0.001), but not in those receiving pancreatoduodenectomy. Conclusion The surgical Apgar score may predict postoperative complications in patients undergoing pancreaticoduodenectomy and distal pancreatectomy, but may not predict postoperative mortality. |
| Key words: Surgical Apgar scoring Pancreatic cancer Pancreaticoduodenectomy Incidence Mortality |
