摘要
目的分析良性前列腺增生(BPH)患者经尿道等离子前列腺剜除术(TPKEP)后发生急性附睾-睾丸炎的影响因素,并建立个体化风险模型。方法回顾性分析300例行TPKEP的BPH患者的临床资料,根据术后是否发生急性附睾-睾丸炎将患者分为并发组与非并发组。比较两组患者的临床资料,并采用多因素Logistic回归模型分析BPH患者TPKEP后发生急性附睾-睾丸炎的影响因素。基于影响因素构建列线图风险模型,通过受试者工作特征曲线及校正曲线评价该模型的准确性。结果两组患者年龄、糖尿病史、手术时间、术后留置导尿管时间比较,差异均有统计学意义(均P<0.05)。多因素Logistic回归分析结果显示,年龄、糖尿病史、手术时间、术后留置尿管时间均是BPH患者TPKEP后发生急性附睾-睾丸炎的影响因素(均P<0.05)。基于上述影响因素建立的列线图风险模型的受试者工作特征曲线下面积为0.817,校正曲线显示该模型的预测可能性绝对误差为0.012。结论年龄>65岁、合并糖尿病、手术时间>90 min、术后留置导尿管时间>5 d的BPH患者TPKEP后发生急性附睾-睾丸炎的风险增加。基于上述影响因素建立的列线图风险模型对BPH患者TPKEP后急性附睾-睾丸炎的发生风险具有较好的评估价值。
Objective To analyze the influencing factors for the occurrence of acute epididymo-orchitis in patients with benign prostatic hyperplasia(BPH)after transurethral plasma kinetic enucleation of prostate(TPKEP),and to establish an individualized risk model.Methods The clinical data of 300 BPH patients undergoing TPKEP were retrospectively analyzed.Patients were assigned to complication group or non-complication group according to the presence of acute epididymo-orchitis after operation.The clinical data of patients were compared between the two groups.The influencing factors for the occurrence of acute epididymo-orchitis in BPH patients after TPKEP were analyzed by employing the multivariate Logistic regression model.The nomogram risk model was established based on the influencing factors,and the accuracy of the model was evaluated by the receiver operating characteristic curve and the calibration curve.Results There were statistically significant differences in age,history of diabetes mellitus,operation duration,and postoperative indwelling urethral catheter time between the two groups(all P<0.05).The results of multivariate Logistic regression analysis revealed that age,history of diabetes mellitus,operation duration,postoperative indwelling urethral catheter time were the influencing factors for the occurrence of acute epididymo-orchitis in BPH patients after TPKEP(all P<0.05).The area under the receiver operating characteristic curve of the nomogram risk model established based on the aforementioned influencing factors was 0.817,and the calibration curve implied that the absolute error of prediction probability of the model was 0.012.Conclusion BPH patients with age>65 years old,concomitant diabetes mellitus,operation duration>90 minutes,postoperative indwelling urethral catheter time>5 days have increased risk of suffering from acute epididymo-orchitis after TPKEP.The nomogram risk model established based on the aforementioned influencing factors exerts a favorable evaluation value on the occurrence risk of acu
作者
龙福芝
赵彬李
陈文元
江鹏
王波
徐小龙
徐广龙
黄福
汪小明
黄海鹏
周立权
LONG Fuzhi;ZHAO Binli;CHEN Wenyuan;JIANG Peng;WANG Bo;XU Xiaolong;XU Guanglong;HUANG Fu;WANG Xiaoming;HUANG Haipeng;ZHOU Liquan(Department of Urinary Surgery,the Second Affiliated Hospital of Guangxi Medical University,Nanning 530007,Guangxi,China)
出处
《广西医学》
CAS
2023年第8期912-915,932,共5页
Guangxi Medical Journal
基金
广西壮族自治区卫生健康委员会自筹经费科研课题(Z20211249)。
关键词
良性前列腺增生
经尿道等离子前列腺剜除术
急性附睾-睾丸炎
术后
影响因素
风险模型
Benign prostatic hyperplasia
Transurethral plasma kinetic enucleation of prostate
Acute epididymo-orchitis
Post operation
Influencing factors
Risk model
