| 胡盛萍,王雍博,王 晨,等.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分析[J].肿瘤学杂志,2025,31(8):711-716. |
| 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分析 |
| Prediction Value of Mayo Adhesive Probability Score for Surgical Complexity in Patients with Adrenal Tumors Undergoing Laparoscopic Resection |
| 投稿时间：2024-10-21 |
| DOI：10.11735/j.issn.1671-170X.2025.08.B009 |
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| 中文关键词: 肾上腺肿瘤 梅奥粘连概率评分 腹腔镜治疗术 肾周脂肪 术前评估 |
| 英文关键词:adrenal neoplasms Mayo adhesive probability score therapeutic laparoscopy periadrenal fat preoperative evaluation |
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| 中文摘要: |
| 摘 要：［目的］评估肾上腺肿瘤最大径水平面的梅奥粘连概率（adrenal tumor’s Mayo adhesive probability，A-Mayo）评分对腹腔镜肾上腺肿瘤切除术的指导作用。［方法］ 回顾性分析2021年1月至2022年6月丽水市中心医院收治的86例接受腹腔镜肾上腺肿瘤切除术患者的临床资料。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，并根据A-Mayo评分将患者分为低、中、高风险组，比较不同风险组的手术时间、术中失血量和术后恢复情况，使用多变量回归分析评估A-Mayo评分与手术难度的相关性。［结果］ 86例患者中，A-Mayo评分低风险组38例，中风险组38例，高风险组10例。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。［结论］ A-Mayo评分可作为一种有效的术前评估工具，预测手术复杂性，以提高手术安全性。 |
| 英文摘要: |
| Abstract：［Objective］ To evaluate the implication of Mayo adhesive probability score based on the largest diameter of the adrenal tumor (A-Mayo) for surgical complexity in patients undergoing laparoscopic adrenalectomy. ［Methods］ The clinical data of 86 patients with adrenal tumor who underwent laparoscopic adrenalectomy at Lishui Central Hospital from January 2021 to June 2022 was retrospective analyzed. The A-Mayo score was calculated by assessing perinephric fat adhesions at the level of the largest diameter of the adrenal tumor according to the preoperative imaging data. Patients were categorized into low， medium and high risk groups based on the A-Mayo score. The operative time， intraopera-tive blood loss， and postoperative recovery were compared among three groups， and the correlation of A-Mayo score with the surgical outcomes was evaluated with multivariate regression analysis. ［Results］ Among the 86 patients， there were 38， 38 and 10 in the low， medium and high risk groups， respectively. The A-Mayo score was significantly associated with operative time and intraoperative blood loss(P<0.001). The A-Mayo score was positively correlated with the operative time and intraoperative blood loss. ［Conclusion］ The A-Mayo score can be used as a preoperative assessment tool to predict surgical complexity to improve surgical safety. |
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