医学信息2025，Vol.38Issue(8)：92-95,117,5.DOI:10.3969/j.issn.1006-1959.2025.08.018
子宫内膜息肉复发因素分析及预测模型建立
Analysis of Recurrence Factors of Endometrial Polyps and Establishment of Prediction Model
周伟伟 1葛小花1
作者信息
- 1. 安徽医科大学附属巢湖医院妇产科,安徽 巢湖 238000
- 折叠
摘要
Abstract
Objective To explore the predictive value of early warning model of risk factors for recurrence of endometrial polyps(EP)based on forest map.Methods A total of 98 patients who underwent transcervical polyp resection(TCRP)in Chaohu Hospital of Anhui Medical University from January 2022 to January 2023 were selected for follow-up.According to the postoperative conditions,they were divided into recurrence group and non-recurrence group.Logistic analysis was used to analyze the risk factors of postoperative recurrence,and a recurrence warning model was constructed to analyze the predictive value of the model.Results Univariate results showed that age≥40 years old,body mass index≥28 kg/m2,combined with uterine fibroids,and postoperative untreated were the influencing factors of postoperative recurrence in EP patients(P＜0.05).Multivariate Logistic analysis showed that body mass index≥28 kg/m2,uterine fibroids,and no use of progesterone drugs after surgery were independent risk factors for EP recurrence(P＜0.05).Postoperative use of progesterone and Mirena ring were independent protective factors for recurrence after TCRP.The forest map showed that body mass index≥28 kg/m2,uterine fibroids,and postoperative untreated were all positively correlated risk factors,which did not intersect with the invalid line(P＜0.05).The risk early warning model was constructed based on the forest map.The Hosmer-Lemeshow goodness of fit test showed that the model had a good fitting effect.The receiver operating characteristic(ROC)curve showed that the AUC was 0.887(95%CI:0.808-0.967),the sensitivity was 73.80%,and the specificity was 92.90%.Conclusion The early warning model of risk factors for recurrence of endometrial polyps based on forest map has good predictive value,which can provide a reliable basis for clinical early targeted prevention and recurrence measures.关键词
子宫内膜息肉/复发危险因素/森林图/预测模型Key words
Endometrial polyp/Risk factors for recurrence/Forest map/Prediction model分类
医药卫生引用本文复制引用
周伟伟,葛小花..子宫内膜息肉复发因素分析及预测模型建立[J].医学信息,2025,38(8):92-95,117,5.
