本文選題：卵巢過(guò)度刺激綜合征 + 腹腔積液�。� 參考：《中國(guó)醫(yī)學(xué)影像技術(shù)》2017年11期

【摘要】：目的通過(guò)超聲測(cè)量卵巢過(guò)度刺激綜合征(OHSS)患者腹盆腔6個(gè)部位(子宮前方、子宮直腸窩、右側(cè)髂窩、左側(cè)髂窩、肝腎隱窩、脾腎隱窩)腹腔積液深度,建立腹腔積液量預(yù)測(cè)模型并進(jìn)行臨床驗(yàn)證。方法選取經(jīng)超聲測(cè)量腹盆腔6個(gè)部位的腹腔積液體積并于測(cè)量6h內(nèi)實(shí)施經(jīng)陰道腹腔積液穿刺引流術(shù)的患者50例作為測(cè)算組,分別繪制引流腹腔積液量(Y;ml)與腹腔積液深度和(X;mm)、身高相關(guān)腹腔積液系數(shù)、體表面積相關(guān)腹腔積液系數(shù)的散點(diǎn)圖,建立3個(gè)回歸方程。采用相關(guān)性較好且更簡(jiǎn)單、實(shí)用回歸方程為擬驗(yàn)證公式,追蹤100例患者作為驗(yàn)證組,根據(jù)上述回歸方程獲得預(yù)測(cè)腹腔積液量,將其與實(shí)際引流腹腔積液量進(jìn)行Bland-Altman一致性分析和配對(duì)t檢驗(yàn)。結(jié)果測(cè)算組X與Y的直線回歸方程為Y=-256.554+10.452 X(R~2=0.577),相關(guān)性較好且更簡(jiǎn)單,并簡(jiǎn)化為Y=10.5 X-250.0。驗(yàn)證組推測(cè)腹腔積液量與實(shí)際腹腔積液量的一致性界限為(-1 314.02,1 560.48)ml,偏倚為123.23 ml,且兩者比較差異無(wú)統(tǒng)計(jì)學(xué)意義(t=-1.684,P=0.096)。結(jié)論可采用簡(jiǎn)化公式Y(jié)=10.5 X-250.0預(yù)測(cè)OHSS患者的腹腔積液量,指導(dǎo)臨床工作。
[Abstract]:Objective to measure the depth of celiac effusion in the abdominal and pelvic cavity of patients with ovarian hyperstimulation syndrome (OHSS), including anterior uterus, uterine rectum, right iliac fossa, left iliac fossa, liver and kidney crypt, spleen and kidney crypt. A prediction model of peritoneal effusion was established and verified clinically. Methods 50 patients were selected as the measuring group who measured the volume of peritoneal effusion in 6 parts of abdominal and pelvic cavity by ultrasound and performed the puncture and drainage of abdominal cavity fluid through vagina within 6 hours. Three regression equations were established by drawing the scattered plot diagrams of the amount of drainage peritoneal effusion, the depth of peritoneal effusion, the height correlation of celiac effusion coefficient, the body surface area and the coefficient of peritoneal effusion coefficient. The correlation was better and simpler, the practical regression equation was used as the pseudovalidation formula, 100 patients were followed as the validation group, according to the above regression equation, the amount of peritoneal effusion was predicted. The consistency analysis of Bland-Altman and paired t test were carried out. Results the linear regression equation of X and Y was YC256.554 10.452 XRX ~ (2 +) (0.577N), the correlation was better and simpler, and was simplified to YC 10.5 X-250.0. In the test group, the consistency between the amount of peritoneal effusion and the actual amount of peritoneal effusion was estimated to be 1 314.02% 1 560.48 ml, and the bias was 123.23 ml, and there was no significant difference between the two groups. There was no significant difference between the two groups (P < 0. 096). Conclusion the simplified formula YT 10.5 X-250.0 can be used to predict the amount of peritoneal effusion in patients with OHSS and to guide the clinical work.
【作者單位】： 南京醫(yī)科大學(xué)鼓樓臨床醫(yī)學(xué)院生殖醫(yī)學(xué)中心;
【分類(lèi)號(hào)】：R445.1;R711.75
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本文編號(hào)：1916541