基于超声剪切波弹性成像参数与临床风险因素的术后胰瘘改良预测模型
|
|
田晓梵, 董怡, 楼文晖, 张琪, 邱艺杰, 左丹, 王文平
|
A modified clinically relevant post-operative pancreatic fistula risk evaluation model based on ultrasound shear wave elastography: a prospective study
|
|
TIAN Xiaofan, DONG Yi, LOU Wenhui, ZHANG Qi, QIU Yijie, ZUO Dan, WANG Wenping
|
|
表1 CR-POPF阳性和阴性的胰腺肿瘤患者临床特征的比较
|
Tab 1 Comparison of clinical characteristics between CR-POPF-positive and -negative pancreatic tumor patients
|
|
| Index | CR-POPF positive (n=35) | CR-POPF negative (n=65) | t/χ2 value | P value |
|---|
| Gender/n(%) | | | 0.396 | 0.529 | | Male | 16 (45.7) | 34 (52.3) | | | | Female | 19 (54.3) | 31 (47.7) | | | | Age/year | 57.7±14.4 | 60.1±12.5 | 0.887 | 0.378 | | BMI/(kg·m-2) | 23.5±2.9 | 23.1±3.3 | -0.702 | 0.484 | | γ-GT>150 U·L-1/n(%) | 4 (11.4) | 16 (24.6) | 2.473 | 0.116 | | TAG>1.7 mmol·L-1/n(%) | 10 (28.6) | 18 (27.7) | 0.009 | 0.926 | | Cholesterol>5.2 mmol·L-1/n(%) | 6 (17.1) | 12 (18.5) | 0.027 | 0.870 | | Diabetes mellitus/n(%) | 4 (11.4) | 16 (24.6) | 2.473 | 0.116 | | Lesion size/mm | 29.6±14.8 | 29.8±14.1 | 0.081 | 0.935 | | MPD diameter≤3 mm/n(%) | 29 (82.9) | 36 (55.4) | 7.547 | 0.006 | | SWV value/(m·s-1) | | | | | | Pancreatic parenchyma | 0.86±0.18 | 1.24±0.45 | 5.941 | 0.000 | | Lesion | 1.42±0.60 | 1.41±0.64 | -0.078 | 0.938 | | Lesion-parenchyma ratio | 1.69±0.72 | 1.24±0.68 | -3.044 | 0.003 | | Surgery type/n(%) | | | 1.293 | 0.256 | | Pancreaticoduodenectomy | 9 (25.7) | 24 (36.9) | | | | Distal pancreatectomy | 26 (74.3) | 41 (63.1) | | | | Surgery duration/min | 178.3±66.7 | 195.7±80.6 | 1.091 | 0.278 | | Blood loss/mL | 138.3±131.0 | 119.2±139.8 | -0.664 | 0.508 | | Palpation of pancreas/n(%) | | | 1.876 | 0.171 | | Soft | 19 (54.3) | 26 (40.0) | | | | Medium-hard | 16 (45.7) | 39 (60.0) | | | | Pathological diagnosis of PDAC/PASC/n(%) | 13 (37.1) | 37 (56.9) | 3.560 | 0.059 | | FRS/point | 4.9±1.3 | 3.8±1.8 | -2.891 | 0.005 | | a-FRS/% | 60.6±27.2 | 21.3±23.2 | -7.593 | 0.000 |
|
|
|