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迷你皮肤利切除术与标准皮肤利切除术:为手术成功比较提供一次性手术决策支持系统
1Afyonkarahisar Health Sciences University, Department of Distance Education Application and Research Center, Afyonkarahisar, Turkey.
Therapeutics and clinical risk management
|January 3, 2024
概括
这项研究确定了在迷你穿皮利切除手术和标准穿皮利切除手术之间进行选择的关键因素. 手术类型和接入方法对患者的结果最为关键.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 脊髓石切除术 (nephrolithotomy) 是一个切除术.
- 外科手术的结果
背景情况:
- 穿皮骨切除术 (PCNL) 是对结石的一种常见手术.
- 在迷你PCNL和标准PCNL之间做出选择需要复杂的决策.
- 对影响手术成功的因素进行客观评估至关重要.
研究的目的:
- 在迷你PCNL和标准PCNL中对安全性和有效性至关重要的特征进行排名.
- 确定患者护理和手术方法选择的关键变量.
- 用手术前和后的数据来评估PCNL技术的成功.
主要方法:
- 使用了多变量自适应回归支柱 (MARS),LASSO,Ridge,Elastic_net和随机森林算法.
- 应用变量选择技术来排名特征的重要性.
- 分析了来自278名患者样本的数据.
主要成果:
- 确定了关键变量:手术类型 (100%),肋间间接入 (97.75%),脏打开程序 (94.25%),术后肌素 (59.22%),水 (52.23%),输入次数 (41.61%) 和血红蛋白差异 (45.13%).
- 马斯算法表现出最高的性能,MAE (0.3622) 和RMSE (0.3960) 最低,R2 (0.3405) 最高.
结论:
- 结果为PCNL的外科决策提供了关键数据.
- 强调了特定的手术和患者相关因素的重要性.
- 支持开发计算机辅助决策系统,用于泌尿器科手术.
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