控制营养状态评分在预测机器人辅助食管癌根治术后并发症中的应用

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中图分类号 R571 文献标识码 A文章编号 2096-7721（2025）04-0660-07

Prognostic value of CONUT score in predicting postoperative complications following robot-assisted McKeown esophagectomy

JI Yuxing1，2， CAO Xiong1，2，SU Jiacheng1，2， HAN Biao1，2 （1.TheFirstClicalMdicalCollgeofLanzouUvesityLanzouo3，Cina；2.Dpamentoforacicrgeryt Hospital of Lanzhou University/TheInternational Science and Technology Cooperation Base for Development and Applicationof Key Technologies in Thoracic Surgery，Lanzhou 73oo3o， China）

AbstractObjective：Toinvestigatethepredictivevalueof thepreoperative Controling Nutritional Status（CONUT）score for postoperativeomplicationsinpatientsundergoingobot-asistedMKeoesohagectomy （RAME）.Methods：Aretrospectiveaalsis wasperformedo2O3patientswhounderwentRAMEattheFirstHospitalofLanzhou UniversityfromMarch2O19toMarch2O24.Patints were divided into the high-CONUT group（ ？ 3 points， n =34） and the low-CONUT group（ points， n=1 6 9 ）based on preoperative CONUT scores.Clinicalcharacteristicsandpostoperatieomplicatioswerecomparedetwntegroupsofpatnts.Lgsticgressaalysis wasusedtoidentifyiskfactorsforcomplications.Results：Thehigh-CONUTgroupshowedsignificantlyhigherincidenceofoveal postoperativeplatiosasomoticitureastootikaglralsiodrgialitetiompdtlo CONUT group （ P <0.05）.Preoperativecholesterollevelsand CONUTscore were identifiedas potentialrisk factorsforcomplications，witha CONUT score ？ 3 points serving as an independent predictor of postoperative complications for RAME （ P<0 . 0 5 ） . Conclusion： The CONUT scoreisarobust independentpredictorofcomplicationsflowingRAME，enablingpreciseandtimelyindividualizedintervetiosto improve patient prognosis.

Keywordsbstdurg；ooldrialStacoe；soealeoseaatiVa

食管癌是常见的上消化道恶性肿瘤，在全球癌症发病率排名第七，总体死亡率排名第六[1]。（剩余12071字）