纤维蛋白原、体温及扭转度数对附件扭转伴坏死的预测价值

发布时间：2019-02-16 01:07

【摘要】：目的探讨血清纤维蛋白原(fibrinogen,FIB)、体温及扭转度数对于预测扭转附件坏死的临床适用性。方法回顾性分析2013年1月至2016年5月98例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、0.290和0.306;P值分别是0.014、0.004和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、0.643和0.670;P值分别是0.00 4、0.015和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的预测性,但预测价值相对较低;三个指标联合的预测价值优于单指标的预测价值。
[Abstract]:Objective to investigate the clinical applicability of serum fibrinogen (fibrinogen,FIB), body temperature and torsion degree in predicting torsion adnexal necrosis. Methods the clinical data of 98 patients with accessory torsion treated by operation from January 2013 to May 2016 were analyzed retrospectively. The patients were divided into necrotic group (45 cases) and non-necrotic group (53 cases). The clinical data of the two groups were analyzed statistically. Results the temperature, FIB and degree of torsion of appendages in necrotic group were higher than those in non-necrotic group (P0.05). The Spearman correlation coefficients of). FIB, body temperature and torsion degree with torsion necrosis were 0.246 and 0.306 respectively. P values were 0.014, 0.004 and 0.002, respectively. The AUC values of ROC curves of body temperature, FIB and torsion degree for predicting torsion adnexal necrosis were 0.668 ~ 0.643 and 0.670 ~ (g) P, respectively. The values were 0.004 ~ 0.015 and 0.004, respectively. The combined AUC for torsion adnexal necrosis was 0.754 (P0. 000). Conclusion the body temperature, FIB and accessory torsion of necrotic group were higher than that of non-necrotic group. Body temperature, FIB and torsion degree had some predictive value for torsion accessory necrosis, but the predictive value was relatively low, and the combined predictive value of the three indexes was better than that of single index.
【作者单位】：重庆医科大学附属第一医院妇科;
【分类号】：R713

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