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| 肾上腺肿瘤最大径水平面的梅奥粘连概率评分对肾上腺肿瘤行腹腔镜外科手术的指导效果研究 |
| Hu Shengping1, Wang Yongbo2*, Wang Chen1, Gu Tengfei1,Pan Yongtao1, Ding Jiafeng1, Chen Ting1, Li Jie1 |
| 投稿时间：2024-10-21 修订日期：2025-01-19 |
| DOI： |
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| 中文关键词: 肾上腺肿瘤的梅奥粘连概率评分(A-Mayo评分) 腹腔镜肾上腺肿瘤切除术 肾周脂肪 术前评估 |
| 英文关键词:Adrenal Tumor’s Mayo Adhesive Probability (A-Mayo) score laparoscopic adrenalectomy periadrenal fat preoperative evaluation. |
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| 中文摘要: |
| 目的：本研究旨在评估肾上腺肿瘤(Adrenal tumor)最大径水平面的梅奥粘连概率评分(Adrenal tumor’s Mayo Adhesive Probability,A-Mayo评分)对腹腔镜肾上腺切除术的指导作用,探讨其对手术时间、术中失血量及术后结局的预测能力。方法：本研究为回顾性研究,纳入了2021年1月至2022年6月期间86例接受腹腔镜肾上腺切除术的患者。通过术前影像学数据评估肾上腺肿瘤最大径水平面的肾周脂肪粘连情况,计算A-Mayo评分,并将患者分为低、中、高风险组。对比不同组别的术中和术后结局,包括手术时间、术中失血量和术后恢复情况,使用多变量回归分析评估评分与手术难度的相关性。结果：结果显示,A-Mayo评分与手术时间和术中失血量显著相关(P ＜ 0.001)。随着A-Mayo评分的增加,手术时间延长,术中失血量显著增加。术后并发症发生率在各组间无显著差异。结论：A-Mayo评分可作为一种有效的术前评估工具,通过影像学数据预测手术复杂性。该评分能够帮助外科医生制定更精确的手术计划,提高手术安全性、改善患者预后。 |
| 英文摘要: |
| Objective: This study aims to assess the role of the Adrenal Tumor’s Mayo Adhesive Probability (A-Mayo) score, based on the largest horizontal diameter of the tumor, in guiding laparoscopic adrenalectomy and to evaluate its predictive ability for operative time, intraoperative blood loss, and postoperative outcomes. Methods: This retrospective study included 86 patients who underwent laparoscopic adrenalectomy between January 2021 and June 2022. The periadrenal fat adhesions were evaluated using preoperative imaging to determine the largest diameter of the adrenal tumor, and the A-Mayo score was calculated. Patients were classified into low, medium, and high-risk groups based on their scores. Intraoperative and postoperative outcomes, including operative time, intraoperative blood loss, and postoperative recovery, were compared among these groups. Multivariable regression analysis was used to assess the correlation between the score and surgical complexity. Results: The results indicated that the A-Mayo score was significantly associated with operative time and intraoperative blood loss (P < 0.001). As the A-Mayo score increased, operative time was prolonged, and intraoperative blood loss significantly increased. There were no significant differences in postoperative complications between the groups. Conclusion: The A-Mayo score serves as an effective preoperative evaluation tool, predicting surgical complexity based on imaging data. This score can help surgeons develop more precise surgical plans, enhancing safety and improving patient outcomes. |
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