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开发和验证一个风险预测模型的尿液保留骨盆地重建后的风险预测模型:一个回顾性队列研究
Shuang Hu1, Linlin Zhou1, Chengying Su1
1Department of Obstetrics and Gynecology, Chongqing Health Center for Women and Children (Women and Children's Hospital of Chongqing Medical University), No.120 Longshan Road, Yubei District, Chongqing, 401147, China.
European journal of medical research
|January 30, 2026
概括
一个名图模型有效地预测骨盆底重建后手术后尿路保留 (POUR) 风险. 关键的危险因素包括先前的尿,心脏病,阴道分娩和最大尿流率.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇科 妇科 妇科 妇科
- 手术瘤学手术瘤学
背景情况:
- 手术后的尿 (POUR) 是骨盆底重建后的一个常见并发症.
- 识别患有POUR高风险的患者对于有效的术后管理和改善患者结果至关重要.
研究的目的:
- 在骨盆地重建后识别和分析导致POUR的因素.
- 在这些患者中开发和验证POUR风险的预测模型.
主要方法:
- 一项对258名接受骨盆底重建的患者进行的回顾性队列研究.
- 用单变量和多变量逻辑回归分析来确定风险因素.
- 使用ROC曲线和校准图表构建并验证了一个名ogram模型.
主要成果:
- POUR的重要危险因素包括尿史,心脏病,阴道分娩次数和最大尿流率.
- 诺米图表表现出良好的预测性能,培训队列中的AUC值为0.812,验证队列中的AUC值为0.822.
- 校准曲线和Hosmer-Lemeshow测试证实了模型的准确性和适合性.
结论:
- 开发的诺莫格拉姆模型在预测POUR风险方面非常有效.
- 这种工具可以帮助早期识别高风险患者,使及时干预成为可能.
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