InBody临床应用论文-术后肌肉流失与肝切除并肝外胆管切除术后并发症的相关性

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InBody应用论文分享

术后肌肉流失与肝大部切除并肝外胆管切除术后并发症的相关性

Surgery-Related Muscle Loss and Its Association with Postoperative Complications after Major Hepatectomy with Extrahepatic Bile Duct Resection

作者

Hidehiko Otsuji, Yukihiro Yokoyama, Tomoki Ebata, et al.

Division of Surgical Oncology, Department of Surgery, Nagoya University Graduate School of Medicine, Japan

InBody人体成分分析仪

论文主要内容

论文结论

行肝大部切除并肝外胆管切除术的患者，术后肌肉流失与术后并发症和死亡率存在显著的相关性。

目的

考察肝大部切除并肝外胆管切除术后骨骼肌的变化与术后并发症之间的关系。

对象

研究纳入254名行肝大部切除并肝外胆管切除术的患者。

方法

采用CT测量受试者术前和术后（1周）第三腰椎处左右腰大肌总面积（TPA）。经预实验证实，TPA与全身骨骼肌肉量（采用InBody人体成分分析仪进行测试，共60名患者）相关性较好（R=0.763），可作为术后全身骨骼肌肉量的替代指标。术前和术后TPA变化率处在最低三分位数的受试者定义为术后肌肉流失（SML）组。