中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (39): 7396-7398.doi: 10.3969/j.issn.1673-8225.2011.39.044

• 骨与关节临床实践 clinical practice of the bone and joint • 上一篇    下一篇

POSSUM评分系统及其改良方法预测人工关节置换的风险

周  密,张树明,傅  捷,陈福文,乔  林,王奎友,刘志刚   

  1. 解放军第二炮兵总医院骨科,北京市  100088
  • 收稿日期:2011-03-07 修回日期:2011-06-15 出版日期:2011-09-24
  • 作者简介:周密☆,男,辽宁省辽阳市人,汉族,2009年解放军军医进修学院毕业,博士,主治医师,主要从事关节外科,运动医学的研究。 mimizhou1975@yahoo.com.cn

Effects of POSSUM Score System and its modification in evaluating post-operative risk for arthroplasties 

Zhou Mi, Zhang Shu-ming, Fu Jie, Chen Fu-wen, Qiao Lin, Wang Kui-you, Liu Zhi-gang   

  1. Orthopaedic Department, General Hospital of Second Artillery Army, Beijing  100088, China
  • Received:2011-03-07 Revised:2011-06-15 Online:2011-09-24
  • About author:Zhou Mi☆, Doctor, Attending physician, Orthopaedic Department, General Hospital of Second Artillery Army, Beijing 100088, China mimizhou1975@yahoo.com.cn

摘要:

背景:POSSUM及P-POSSUM评分已被证明是普通外科最为可靠并得到广泛应用的评分系统,但其在骨科领域、特别是人工关节置换方面的应用报道较少。
目的:探讨POSSUM评分系统在预测人工关节置换后风险的价值。
方法:选择2008-01/2010-10解放军第二炮兵总医院骨科收治的接受人工全髋关节置换、双极股骨头关节置换及全膝关节置换的患者186例,均为单侧关节置换。分别应用POSSUM及P-POSSUM评分系统预测置换并发症率和病死率。
结果与结论:按照POSSUM评分预测,186例患者置换后30 d内应有32例(17%)发生并发症,实际发生28例(15%),按照P-POSSUM评分预测,本组置换后30 d内应有5例死亡(3%),实际发生2例(1%),两组相比,差异无显著性意义(P > 0.05)。提示应用POSSUM及P-POSSUM评分系统预测置换并发症率和病死率与真实结果具有较强的一致性。

关键词: POSSUM评分, P-POSSUM评分, 预测, 评估, 关节置换

Abstract:

BACKGROUND: It is important to predict the risks of arthroplasties before operation. Among the systems of prediction of morbidity and mortality, POSSUM and P-POSSUM scores have been proved to be the most reliable scoring systems. However, its application in arthroplasties is rarely reported.
OBJECTIVE: To evaluate the value of POSSUM and P-POSSUM scores in predicting morbidity and mortality in patients undergoing arthroplasties.
METHODS: From 2008-01 to 2010-10, 186 patients underwent arthroplasties were studied retrospectively using POSSUM and P-POSSUM scoring systems to predict the morbidity and mortality.
RESULTS AND CONCLUSION: There was no statistically difference between the patients with complications predicted by POSSUM (32 cases, 17%) and the observed (28 cases, 15%) within 30 days after implantation (P > 0.05). The observed deaths number (5 cases, 3%) also had no significant difference from the predicted value by P-POSSUM (2 cases, 1%). POSSUM and P-POSSUM scoring systems showed satisfied predictive ability of morbidity and mortality.

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