98例附件扭转病例病情结局分析

发布时间：2018-04-01 11:19

本文选题：附件扭转　切入点：坏死　出处：《重庆医科大学》2017年硕士论文

【摘要】：目的:探讨附件扭转临床表现、体征及相关实验室指标与扭转附件伴坏死的相关性及其预测价值。方法:回顾性分析2013年1月至2016年5月98例于重庆医科大学附属第一医院经手术治疗的附件扭转患者的临床资料,以术后病检结果为金标准,将其分为坏死组(45例),非坏死组(53例),对两组患者的临床资料进行统计学分析。结果:坏死组体温、FIB及附件扭转度数均高于非坏死组(P0.05)。FIB、体温及扭转度数与扭转附件坏死的spearman相关系数分别为0.246,P=0.014;0.290,P=0.004及0.306,P=0.002。体温、FIB及扭转度数对扭转附件坏死预测的ROC曲线的AUC分别为0.668,P=0.004;0.643,P=0.015和0.670,P=0.004。三者联合对于扭转附件坏死预测的AUC为0.754,P=0.000。结论:坏死组体温、FIB及附件扭转度数均高于非坏死组。体温、FIB及扭转度数对于扭转附件坏死均具有一定预测性,但预测价值相对较低;三个指标联合预测价值优于单指标预测价值。
[Abstract]:Objective: to investigate the correlation and predictive value of clinical manifestations, signs and laboratory indexes of accessory torsion with necrosis.Methods: the clinical data of 98 patients with accessory torsion treated in the first affiliated Hospital of Chongqing Medical University from January 2013 to May 2016 were retrospectively analyzed.It was divided into necrotic group (n = 45) and non-necrotic group (n = 53).The AUC of the ROC curves predicted by body temperature and torsion degree for torsion adnexal necrosis were 0. 668 P0. 004 and 0. 643 P0. 015 and 0. 670 P0. 004, respectively.The combined AUC for torsion adnexal necrosis was 0. 754P0. 000.Conclusion: the FIB and the degree of accessory torsion in necrotic group were higher than those in non-necrotic group.Both the FIB and the degree of torsion had a certain predictive value for torsional accessory necrosis, but the predictive value was relatively low, and the combined predictive value of the three indexes was better than that of the single index.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R713

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