子宫肌瘤超声消融治疗率的影响因素研究

发布时间：2018-04-16 20:01

  本文选题：子宫肌瘤 + 逻辑回归分析　； 参考：《重庆医科大学学报》2017年11期

【摘要】：目的:探讨影响推广应用子宫肌瘤高强度聚焦超声(high intensity focused ultrasound,HIFU)消融治疗的因素。方法:本研究数据资料来源于遂宁市中心医院妇产科,通过对2015年2月至2015年9月前往四川省遂宁市中心医院咨询的1121名子宫肌瘤患者的相关信息和影响因素进行分析,指导患者现场填写调查表格完成数据资料的收集,包括部分人口学相关信息、医院诊疗流程相关信息和子宫肌瘤患者症状程度等。统计学上采用多因素logistic回归分析和最大似然估计的向前逐步回归法(forward LR)对影响患者治疗选择的因素进行分析。结果:1 121位患者中最终进行HIFU治疗的患者399人,治疗比例为35.59%。多因素分析显示:医师本人是否推荐进行HIFU治疗(OR=4.519,95%CI=1.055~1.438,P=0.049)、医师对HIFU的介绍是否规范(OR=2.202,95%CI=1.009~20.243,P=0.000)、患者是否了解子宫肌瘤的各项治疗方式(OR=1.629,95%CI=1.539~3.153,P=0.006)、经济水平(OR=1.190,95%CI=1.044~1.356,P=0.009)、医保种类(保险报销幅度)(OR=1.356,95%CI=1.168~1.574,P=0.000)、症状程度(OR=1.232,95%CI=1.154~2.300,P=0.008)与患者是否选择HIFU治疗相关。结论:医师本人是否推荐进行HIFU治疗、医师对HIFU的介绍是否规范、患者是否了解子宫肌瘤的各项治疗方式、经济水平、医保种类(保险报销幅度)、症状程度是影响患者选择HIFU治疗的因素。参考以上因素的影响,有助于HIFU应用的推广。
[Abstract]:Objective: to investigate the factors influencing the application of high intensity focused ultrasound (HIFU) in the treatment of uterine leiomyoma.Methods: the data of this study were collected from gynecology and obstetrics department of Suining central hospital. The information and influencing factors of 1121 patients with uterine leiomyoma who went to the central hospital of Suining city of Sichuan province from February 2015 to September 2015 were analyzed.Instruct the patients to complete the data collection by filling out the investigation form on the spot, including some demographics related information, the hospital diagnosis and treatment process related information and the hysteromyoma patient symptom degree and so on.Multivariate logistic regression analysis and forward stepwise regression with maximum likelihood estimation were used to analyze the factors affecting patients' treatment choices.Results of the 1 121 patients, 399 were treated with HIFU, and the proportion of treatment was 35.59.澶氬洜绱犲垎鏋愭樉绀，

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