Platelet/lymphocyte ratio predicts the failure of non-surgical treatment in patients with small bowel obstruction treated with intestinal obstruction catheter
10.16151/j.1007-810x.2024.04.005
- VernacularTitle:血小板/淋巴细胞比率预测肠梗阻导管治疗小肠梗阻病人非手术治疗失败的研究
- Author:
Zhi-Bing HOU
1
;
Yang HE
;
Hu ZHAO
;
Yu WANG
;
Lie WANG
;
Xin Zai WU
Author Information
1. 中国人民解放军联勤保障部队第九〇〇医院普通外科,福建福州 350001;福建医科大学福总临床医学院,福建福州 350001
- Keywords:
Small bowel obstruction;
Intestinal obstruction catheter;
Conversion surgery
- From:
Parenteral & Enteral Nutrition
2024;31(4):233-238
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the predictive value of platelet/lymphocyte ratio (PLR) for conversion surgery in patients with small bowel obstruction treated with intestinal obstruction catheter. Methods:The clinical data of patients with intestinal obstruction treated by intestinal obstruction catheter in the 900TH Hospital of Joint Logistics Support the Force were retrospectively collected. Logistic regression analyses were performed to identify independent predictors of conversion surgery. Restricted cubic spline (RCS) curves assessed the dose-response relationship between PLR and conversion surgery. Receiver operating characteristic (ROC) curves assessed the validity of the predictive model. Results:A total of 73 patients with small bowel obstruction treated conservatively with intestinal obstruction catheter were included and 25 (34.2％) patients were referred for surgical intervention after poor outcome of conservative treatment. Multivariate logistic regression analysis showed that PLR was an independent predictor of conversion surgery (P=0.032). The RCS analysis showed a non-linear correlation between a progressively higher risk of conversion surgery as the PLR increased. The ROC curves show that the incorporation of PLR into the prediction model significantly enhances its predictive efficacy (All P<0.05). Conclusion:PLR was found to be significantly associated with conversion surgery in small bowel obstruction patients treated with intestinal obstruction catheter,with a non-linear correlation. Incorporating PLR into the prediction model can significantly enhance the predictive efficacy,thus providing reference value for clinicians' decision-making.
