改良POSSUM評分預測甲狀腺癌患者術后并發(fā)癥發(fā)生率的價值.pdf

1、新疆醫(yī)科大學碩士學位論文改良POSSUM評分預測甲狀腺癌患者術后并發(fā)癥發(fā)生率的價值姓名：付明剛申請學位級別：碩士專業(yè)：腫瘤學指導教師：馬斌林2009-04新疆醫(yī)科大學醫(yī)學碩士學位論文 新疆醫(yī)科大學醫(yī)學碩士學位論文 —2—Value Of Modified POSSUM For Postoperative Morbidity Risk In Thyroid Carcinoma Patients Postgraduate:FuMingga

2、ng Supervisor: Prof. MaBinglin Abstract Objective: To analysis the modified POSSUM surgical scoring system in predicting the postoperative morbidity in patients with thyroid carcinoma. Methods: 150 patients with thyroi

3、d carcinoma in head and neck surgery of tumor affiliated hospital of xinjiang medical university from january 2007 to november 2007 were retrospectively analyzed with modified POSSUM surgical scoring system. In the modif

4、ied POSSUM, Lung infection were included into the evaluation of lung and ECG were evaluated more detailed; Abdominal cavity soiling were replaced by surgical field condition, the operative severity scores were classified

5、 4 grades.A comparison between the observed and the predicted morbidity was made. Results:48 patients with complication were predicated by the modified POSSUM surgical scoring system. There was no significant difference

6、between 48 predicated and 43 observed morbidity (P>0.05). score of physiology and score of operative severity in the group without complication were lower than those in the groups with complications (P<0.05). Concl

7、usion: The modified POSSUM surgical scoring system can evaluate and predict the prognosis of the patients with thyroid carcinoma. Intensive monitoring and organ supporting therapy during the operation according to the sc