血小板/淋巴细胞值对急性A型主动脉夹层预后的预测价值-现代医学

血小板/淋巴细胞值对急性A型主动脉夹层预后的预测价值

单位：南京医科大学附属南京医院(南京市第一医院) 心胸血管外科, 江苏南京 210006

分类号：R543.1

出版年·卷·期（页码）：2018·46·第六期（656-659）

摘要：

目的：评估血小板/淋巴细胞值（PLR）对急性A型主动脉夹层患者手术预后的预测价值。方法：选择2015年1月至2016年12月间行急性A型主动脉夹层弓部手术置换的患者107例，根据术前PLR分为高PLR组（PLR ≥ 150：1）和低PLR组（PLR<150：1），比较两组患者术前、术中及术后不良事件（死亡、自动出院、截瘫、肾衰及神经系统永久损伤）发生率。结果：两组患者术前一般资料及术中数据比较差异无统计学意义（P>0.05），而高PLR组患者的术后不良事件的发生率低于低PLR组，差异具有统计学意义（P<0.05）。结论：急性A型主动脉夹层患者术前高PLR提示有更好的预后。

Objective:To evaluate the role of platelet to lymphocyte ratio (PLR) in predicting the prognosis of acute type A aortic dissection. Methods:A retrospective analysis was performed of 107 patients undergoing bow surgery between January 2015 to December 2016. The patients with type A acute aortic dissectionwere divided into two groups according to the preoperative PLR (≥ 150:1 and <150:1). The incidence of preoperative, intraoperative and postoperative adverse events (death, auto-discharge, paraplegia, renal failure, and permanent damage to the nervous system) were compared between the two groups. Results:There was no significant difference in preoperative general data and intraoperative data between the two groups (P>0.05). The incidence of postoperative adverse events was lower in the high PLR group than that in the low PLR group,the difference was statistically significant (P<0.05). Conclusion:Preoperative high PLR in patients with type A acute aortic dissection suggests a better prognosis.

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