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育龄期子宫内膜息肉宫腔镜电切术后复发预警模型构建

Construction of a recurrence warning model for endometrial polyps in childbearing age after hysteroscopic resection

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目的:构建育龄期下子宫内膜息肉宫腔镜电切术后复发预警模型.方法:回顾性选取2020年7月-2022年12月接受子宫内膜息肉宫腔镜电切手术治疗的109例患者分析复发影响因素,构建预警模型,另取2023年1月-7月的47例患者作为验证,所有患者根据术后是否复发分为复发组和未复发组.使用多因素 logistic回归分析术后复发的影响因素并构建患者术后复发的风险预测模型,模型准确度以ROC曲线判断.通过 Hosmer-Lemeshow检验评价该模型的拟合度.结果:独立影响因素构建的预警模型ROC曲线下面积为0.935(95%CI:0.863~1.000).H-L检验显示拟合度优良.结论:根据影响因素构建的育龄期子宫内膜息肉宫腔镜电切术后复发的风险预警模型预测效能良好,可为临床预防患者术后复发提供参考.
Objective:To construct a recurrence warning model for endometrial polyps after hysteroscopic resection in childbearing age.Method:A retrospective study was conducted on 109 patients who underwent hysteroscopic resection of endometrial polyps from July 2020 to December 2022 to construct a model.An additional 47 patients from January to July 2023 were selected as validation.All patients were divided into a recurrence group and a non recurrence group based on whether they experienced postoperative recurrence.Use multiple logistic regression to analyze the influencing factors of postoperative recurrence and construct a risk prediction model for postoperative recurrence in patients.The accuracy of the model is judged by the ROC curve.Evaluate the fit of the model through Hosmer Lemeshow test.Result:The area under the ROC curve of the warning model constructed with independent influencing factors was 0.935(95%CI:0.863~1.00).The H-L test showed,indicating excellent fit.Conclusion:The risk warning model for recurrence of endometrial polyps after hysteroscopic resection in childbearing age has good predictive efficacy and can provide reference for clinical prevention of postoperative recurrence in patients.

childbearing ageendometrial polypshysteroscopic electrocauterypostoperative recurrenceprediction model

张婷、李丽

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赣州市南康区第一人民医院 江西 赣州 341400

育龄期 子宫内膜息肉 宫腔镜电切术 术后复发 预测模型

2024

安徽医专学报
安徽医学高等专科学校

安徽医专学报

影响因子:0.441
ISSN:2097-0196
年,卷(期):2024.23(6)