影响自发性气胸术后复发的危险因素分析及列线图模型的构建
Analysis of risk factors affecting postoperative recurrence of spontaneous pneumothorax and the establishment of nomogram model
韩溢洪 1肖海琴 2徐伟1
作者信息
- 1. 江西省乐平市人民医院 乐平 333300
- 2. 江西省乐平市天湖医院 乐平 333300
- 折叠
摘要
目的:分析自发性气胸患者经胸腔镜手术治疗后复发的危险因素并构建列线图模型.方法:回顾性分析 80例自发性气胸患者的术后治疗情况,行单因素和多因素logistics回归分析筛选术后复发的独立危险因素,建立列线图模型并采用决策曲线评估该模型临床效能.结果:术后吸烟、气胸次数≥2 次、肺大泡遗漏、未行胸膜固定术是术后自发性气胸复发的独立危险因素(P＜0.05).结论:本研究基于术后复发的危险因素构建的列线图模型,可指导临床降低术后自发性气胸的复发风险,改善预后.
Abstract
Objective:To analyze the risk factors of recurrence of spontaneous pneumothorax after thoracoscopic surgery and construct a nomogram model.Methods:The data from 80 patients with spontaneous pneumothorax treated in our hospital were retrospectively analyzed.Univariate and multivariate Logistics regression analysis was performed to screen the independent risk factors for postoperative recurrence,and a nomogram model was established and the clinical efficacy of the model was evaluated by decision curve.Results:The postoperative smoking,frequency of pneumothorax≥2,omission of pulmonary bullae and no pleurodesis were independent risk factors for postoperative recurrence of pneumothorax(P<0.05).Conclusion:The nomogram model based on the risk factors of postoperative recurrence of spontaneous pneumothorax in this study can guide clinical practice to reduce the risk of postoperative recurrence of spontaneous pneumothorax and improve its prognosis.
关键词
自发性气胸/复发/危险因素/列线图模型Key words
spontaneous pneumothorax/relapse/risk factors/nomogram model引用本文复制引用
出版年
2024
NETL
NSTL
万方数据