研究文章
胃切除术后术后并发症发生率的增加比例术前内脏脂肪的数量
|
| 变量 |
内脏脂肪面积(cm2) |
价值 |
| 0-49n= 91 |
50 - 99n= 160 |
100 - 149n= 187 |
≥150n= 128 |
|
| 年龄 |
|
|
|
|
|
| 连续 |
64.8±13.9 |
66.8±11.1 |
67.3±8.9 |
69.8±9.4 |
0.0065 |
| 性 |
|
|
|
|
|
| 男性 |
36 (39.6%) |
92例(57.5%) |
129例(69.0%) |
114例(89.1%) |
< 0.0001 |
| BMI(公斤/米2) |
|
|
|
|
|
| ≥25 |
0 (0%) |
13 (8.1%) |
46 (24.6%) |
72例(56.3%) |
< 0.0001 |
| 皮下脂肪(cm2) |
|
|
|
|
|
| 连续 |
58.6±5.0 |
112±3.8 |
133±3.5 |
153±4.2 |
< 0.0001 |
| 亚撒的分数 |
|
|
|
|
|
| ≥3 |
4 (4.4%) |
14 (8.8%) |
14 (7.5%) |
19 (14.8%) |
0.042 |
| DM |
|
|
|
|
|
| 是的 |
3 (3.3%) |
13 (8.1%) |
21 (11.2%) |
31 (24.2%) |
< 0.0001 |
| Sarcopenia |
|
|
|
|
|
| 是的 |
49 (53.9%) |
114例(71.3%) |
117例(62.6%) |
74例(62.5%) |
0.025 |
| 南汽 |
|
|
|
|
|
| 是的 |
18 (19.8%) |
17 (10.6%) |
28 (15.0%) |
8 (6.3%) |
0.015 |
| cStage |
|
|
|
|
|
| 我 |
58 (63.7%) |
110例(68.8%) |
115例(61.5%) |
81例(63.3%) |
0.035 |
| 二世 |
11 (12.1%) |
24 (15.0%) |
39 (20.9%) |
33 (25.8%) |
|
| 三世 |
22 (24.2%) |
26 (16.3%) |
33 (17.7%) |
14 (10.9%) |
|
| 血清白蛋白(g / dL) |
|
|
|
|
|
| ≤3.5 |
23 (25.3%) |
28 (17.5%) |
25 (13.4%) |
14 (10.9%) |
0.023 |
| 手术过程 |
|
|
|
|
|
| DG |
61例(67.0%) |
120例(75.0%) |
129例(69.0%) |
83例(64.8%) |
0.28 |
| TG |
30 (33.0%) |
40 (25.0%) |
58 (31.0%) |
45 (35.2%) |
|
| 外科手术方法 |
|
|
|
|
|
| 腹腔镜 |
83例(91.2%) |
146例(91.3%) |
177例(94.7%) |
105例(82.0%) |
0.0028 |
| 开放 |
2 (2.2%) |
2 (1.3%) |
7 (3.7%) |
7 (5.5%) |
|
| 机器人 |
6 (6.6%) |
12 (7.5%) |
3 (1.6%) |
16 (12.5%) |
|
| 淋巴结解剖 |
|
|
|
|
|
| D1 + |
43 (47.3%) |
75例(46.9%) |
90例(48.1%) |
64例(50.0%) |
0.96 |
| D2 |
48 (52.7%) |
85例(53.1%) |
97例(51.9%) |
64例(50.0%) |
|
|
|
|
体重指数:身体质量指数;ASA:美国麻醉医师学会;糖尿病:糖尿病;南京:新辅助化疗;TG:全胃切除术;DG:远端胃切除术。
|
