Significance of Quantitative Ultrasound Evaluation Based on Gastric Contents in Early Warning of Reflux Aspiration in Patients with Diabetes After Laparoscopic Pelvic Surgery
CHEN Xueliang
JING Feng'e
WANG Guoyu
SU Wentao
ZHOU Kan
LI Xiuna
LU Xiaoying
CUI Xiude
Abstract：Objective To explore the significance of ultrasonic quantitative evaluation based on gastric contents in the early warning of reflux aspiration in patients with diabetes after laparoscopic pelvic surgery.Methods A total of 1 200 patients undergoing laparoscopic pelvic surgery in the First Affiliated Hospital of Henan Polytechnic University from September 2021 to April 2023 were selected and grouped according to whether they experienced satiation or not,with the occurrence group(120 cases)versus the non-occurrence group(1 080 cases).The interaction of their satiety influencing factors and gastric volume(GV)with satiety influencing factors in laparoscopic pelvic surgery patients was analysed to compare GV in patients with and without occurrence of reflux misaspiration after laparoscopic pelvic surgery in diabetic patients and to evaluate the value of GV in the early warning of reflux misaspiration after laparoscopic pelvic surgery in diabetic patients.Results The combination of diabetes,duration of anesthesia and GV before induction were all independent influencing factors for the occurrence of satiety in laparoscopic pelvic surgery(P＜0.05).There was interaction between GV before induction and diabetes(P＜0.05).GV before induction,before extubation,and after extubation in patients with diabetes who had reflux aspiration after laparoscopic pelvic surgery was greater than that in patients without reflux aspiration(P＜0.05).The receiver operating characteristic(ROC)curve of the subjects showed that the AUC value of GV before induction predicting reflux aspiration after laparoscopic pelvic surgery in diabetes patients was the largest,significantly higher than that before and after extubation(P＜0.05).Conclusion Quantitative ultrasound evaluation based on gastric contents before induction,before and after extubation is important in the early warning of reflux aspiration after laparoscopic pelvic surgery in diabetic patients,with the greatest significance before induction.
Keywords：stomach contentsultrasonic quantitative evaluationdiabetes mellituslaparoscopic pelvic surgerybackflow aspiration
Publication Date：2025-02-28
Online Publishing Date：2026-09-12(First online date of this platform, not the publication date of the document)
Pages：5( 619-623 )