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构建一个风险预测模型的尿道缩后尿道镜Holmium激光Lithotripsypsy
Ping Li1, Kangning Wang2, Lin Luo1
1Department of Urology Surgery, The First Affiliated Hospital of Shaoyang University, Shaoyang, P.R. China.
Journal of endourology
|September 16, 2024
概括
尿道透镜霍尔激光石术后的尿道狭窄受大石径,石质监禁和严重水缩的影响. 一个预测模型可以识别高风险患者及时预防.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 内分泌病学 在内分泌病学.
- 激光手术 激光手术是一种激光手术.
背景情况:
- 尿道狭窄是尿路透镜霍尔米激光光三症后的潜在并发症.
- 识别风险因素对于防止这种不利结果至关重要.
研究的目的:
- 为了分析影响尿管狭窄的因素,在尿管镜式霍尔激光光三术后.
- 开发一个术后尿道狭窄的预测模型.
主要方法:
- 对427名患者的临床数据进行了回顾性分析.
- 单变量和多变量逻辑回归分析.
- 使用R软件构建和验证一个名ogram预测模型.
主要成果:
- 在1年的随访后,尿道狭窄发生在6.56%的患者中.
- 确定了独立的危险因素:石头直径大,石头被囚禁,中度至严重的水.
- 诺莫格拉姆模型表现出高精度 (AUC:0.875) 和在外部验证中良好的一致性 (AUC:0.873).
结论:
- 石头直径大,石头被囚禁,中度至重度的水缩是尿管狭窄症后的显著风险因素.
- 开发的诺莫格拉姆模型准确地预测高风险患者.
- 这个模型可以帮助及时制定预防策略,以最大限度地减少术后尿道狭窄.
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