诊断准确度的比较常用试验的空隙参数的诊断准确度
Julia K Shinnick1, Christina A Raker2, Elizabeth J Geller3
1From the Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Women & Infants Hospital of Rhode Island, Teaching Affiliate of the Warren Alpert Medical School of Brown University, Providence, RI.
Urogynecology (Philadelphia, Pa.)
|October 24, 2024
概括
术后试验的空洞参数,如空洞后残留体积 (PVR) 和空洞体积,可以准确预测尿. 对于临床决策来说,PVR ≥87mL,空化体积 ≤150mL和主观流力 (sFOS) ≤60%的值是最佳的.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇科 妇科医生 妇科
- 外科手术的结果
背景情况:
- 准确评估术后空气功能对于管理导管治疗至关重要.
- 试验空隙 (TOV) 参数用于确定准备清除导管的准备.
- 了解这些参数的诊断准确性对于临床决策至关重要.
研究的目的:
- 为了比较常见的术后TOV参数的诊断准确度.
- 为了确定预测术后尿的最佳值.
主要方法:
- 160名接受门诊泌尿外科手术的患者的前性队列研究.
- 患者记录了空气后残留体积 (PVR),空气体积和主观流力 (sFOS).
- 用敏感度,特异性和尤登指数评估诊断准确度,并使用麦克纳马尔对配对比例的测试.
主要成果:
- 21.3%的参与者经历了手术后的尿.
- 预测保留的最佳值是PVR≥87毫升 (灵敏度96.8%),空化体积≤150毫升 (灵敏度83.9%) 和sFOS≤60% (灵敏度100%).
- 排空体积≤150mL显示诊断准确度高于PVR≥100mL.
结论:
- 排泄后残留体积 (PVR) ≥87毫升,排泄体积 ≤150毫升,主观流力 (sFOS) ≤60%显示了术后尿的最佳诊断准确性.
- 这些参数可以指导临床决策有关尿管管理后泌尿外科手术.
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