本文選題：附件扭轉(zhuǎn)　切入點(diǎn)：壞死　出處：《重慶醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:探討附件扭轉(zhuǎn)臨床表現(xiàn)、體征及相關(guān)實(shí)驗(yàn)室指標(biāo)與扭轉(zhuǎn)附件伴壞死的相關(guān)性及其預(yù)測(cè)價(jià)值。方法:回顧性分析2013年1月至2016年5月98例于重慶醫(yī)科大學(xué)附屬第一醫(yī)院經(jīng)手術(shù)治療的附件扭轉(zhuǎn)患者的臨床資料,以術(shù)后病檢結(jié)果為金標(biāo)準(zhǔn),將其分為壞死組(45例),非壞死組(53例),對(duì)兩組患者的臨床資料進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果:壞死組體溫、FIB及附件扭轉(zhuǎn)度數(shù)均高于非壞死組(P0.05)。FIB、體溫及扭轉(zhuǎn)度數(shù)與扭轉(zhuǎn)附件壞死的spearman相關(guān)系數(shù)分別為0.246,P=0.014;0.290,P=0.004及0.306,P=0.002。體溫、FIB及扭轉(zhuǎn)度數(shù)對(duì)扭轉(zhuǎn)附件壞死預(yù)測(cè)的ROC曲線的AUC分別為0.668,P=0.004;0.643,P=0.015和0.670,P=0.004。三者聯(lián)合對(duì)于扭轉(zhuǎn)附件壞死預(yù)測(cè)的AUC為0.754,P=0.000。結(jié)論:壞死組體溫、FIB及附件扭轉(zhuǎn)度數(shù)均高于非壞死組。體溫、FIB及扭轉(zhuǎn)度數(shù)對(duì)于扭轉(zhuǎn)附件壞死均具有一定預(yù)測(cè)性,但預(yù)測(cè)價(jià)值相對(duì)較低;三個(gè)指標(biāo)聯(lián)合預(yù)測(cè)價(jià)值優(yōu)于單指標(biāo)預(yù)測(cè)價(jià)值。
[Abstract]:Objective: to investigate the correlation and predictive value of clinical manifestations, signs and laboratory indexes of accessory torsion with necrosis.Methods: the clinical data of 98 patients with accessory torsion treated in the first affiliated Hospital of Chongqing Medical University from January 2013 to May 2016 were retrospectively analyzed.It was divided into necrotic group (n = 45) and non-necrotic group (n = 53).The AUC of the ROC curves predicted by body temperature and torsion degree for torsion adnexal necrosis were 0. 668 P0. 004 and 0. 643 P0. 015 and 0. 670 P0. 004, respectively.The combined AUC for torsion adnexal necrosis was 0. 754P0. 000.Conclusion: the FIB and the degree of accessory torsion in necrotic group were higher than those in non-necrotic group.Both the FIB and the degree of torsion had a certain predictive value for torsional accessory necrosis, but the predictive value was relatively low, and the combined predictive value of the three indexes was better than that of the single index.
【學(xué)位授予單位】：重慶醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R713

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