预测子宫内膜增生和子宫内膜癌在复发性异常子宫出血时
Unyamanee Veeranaraphanit1, Nungrutai Saeaib, Wisarut Srisintorn
1Department of Obstetrics and Gynecology and the Department of Family and Preventive Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
在复发性异常子宫出血 (AUB) 患者的子宫内膜增生和癌症的预测模型确定了关键风险因素. 年龄较大,子宫内膜,子宫内膜和短抽样间隔增加了风险.
科学领域:
- 妇科 妇科医生 妇科
- 在瘤学瘤学.
- 生殖医学 生殖医学
背景情况:
- 复发性异常子宫出血 (AUB) 带来了诊断方面的挑战.
- 在AUB中评估子宫内膜异位增生和癌症风险需要改进的预测工具.
研究的目的:
- 在患有复发性AUB的患者中开发和验证子宫内膜增生和子宫内膜癌的预测模型.
- 在AUB队列中确定与这些疾病相关的重大风险因素.
主要方法:
- 对456名患有复发性AUB和先前良性子宫内膜样本的患者进行了回顾性队列研究.
- 多变量逻辑回归用于构建预测模型.
- 风险评分是使用AUC和引导方法开发和验证的.
主要成果:
- 子宫内膜增生和癌症分别在8.3%和2.2%的患者中检测到.
- 有意义的预测因素包括年龄>45岁,nulliparity,子宫内膜息肉病史和<12个月的采样间隔.
- 风险组 (0-3,5-8,9-11分) 呈现高升风险 (4.7%,15.5%,57.1%) 的增生/癌症.
结论:
- 在复发的AUB中,子宫内膜增生和癌症发生率低但显著.
- 年龄,子宫内膜异位,子宫内膜异位和短抽样间隔是关键的预测因素.
- 开发的风险分层模型有助于识别高风险患者进行进一步调查.
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