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目的应用POSSUM评分对老年胃肠道肿瘤患者手术风险进行评估,以评价该评分的临床有效性,同时对多个手术风险的单因素进行分析,为临床治疗决策提供参考。方法对234例手术的老年胃肠道肿瘤患者进行POSSUM评分,同时统计术后实际并发症和死亡率,并与评分预测值进行比较,就有可能产生并发症和死亡的多个单因素进行比较分析。结果POSSUM评分预测并发症和死亡率分别为33.8%和6.8%,与实际并发症(26.1%)和死亡率(4.7%)较为接近;单因素比较分析显示5个单因素与并发症的产生有关联,2个单因素与患者死亡有关联。结论POSSUM评分系统可以较好地预测老年胃肠道肿瘤患者术后并发症和死亡率;5个手术风险的单因素应引起临床医师的高度重视。
Objective To evaluate the surgical risk of elderly patients with gastrointestinal cancer using POSSUM score in order to evaluate the clinical validity of this score and analyze the single factors of multiple surgical risks in order to provide reference for clinical treatment decision. Methods The POSSUM scores of 234 elderly patients with gastrointestinal cancer underwent surgery. The actual postoperative morbidity and mortality were also calculated and compared with the predictive value to compare multiple single factors that may have complications and death analysis. Results The POSSUM score predicted mortality and complications were 33.8% and 6.8% respectively, which were close to the actual complication (26.1%) and mortality (4.7%). The single factor analysis showed that there were 5 single factors and complication Associated with 2 single factors associated with patient death. Conclusions The POSSUM scoring system can predict the postoperative morbidity and mortality of elderly patients with gastrointestinal cancer. The single factor of 5 surgical risks should be highly regarded by clinicians.