摘要
目的探讨新输卵管评分系统对输卵管性不孕预后评估的作用。方法采用新输卵管评分和传统R-AFS盆腔粘连评分分别对132例行输卵管整形术的患者进行评分,多因素分析采用二分类Logistic回归分析,采用ROC工作曲线评估两种评分系统对输卵管整形术预后效能。结果新输卵管评分系统与R-AFS盆腔粘连评分系统比较,当分级为重度时,与轻中度相比,发生不孕的相对危险度RR比为1.35∶1.12;当分为轻中度时,与重度相比,发生宫内妊娠的相对危险度RR比为2.44∶1.36。ROC工作曲线对两种评分系统预后效能评估显示:当预后分为宫内妊娠组和其他情况时,两种评分系统的ROC曲线下面积比较,差异有统计学意义(Z=2.16,P<0.05);当预后分为不孕组和其他情况时,两种评分系统的ROC曲线下面积比较,差异亦有统计学意义(Z=2.41,P<0.05);当预后分为宫内妊娠和异位妊娠时,两种评分系统的ROC曲线下面积比较,差异无统计学意义(Z=0.92,P>0.05)。结论与传统的R-AFS盆腔粘连评分系统相比,新输卵管评分系统术前评分对术后预后预估效能更高。
Objective To explore the effect of using a new tubal scoring system to assess postoperative prognosis of tubal infertility. Methods A new tubal scoring system and traditional R-AFS scoring systems were uesd to assess 132 patients undergone oviduct plastic surgery. Binary Logistic regression analysis and the ROC working curve was used for assessing prognosis performance of two scoring systems of tubal plastic surgery. Results When the grade was severe, the rate of the relative risk of infertility （RR） of infertility was 1.35 vs 1.12 compared with mild to moderate. When the grade was mild to moderate, the rate of RR of intrauterine pregnancy was 2.44 vs 1.36 compared with severe. The ROC working curve showed that when the prognosis were divided into intrauterine pregnancy group and other conditions, the difference be- tween two area under ROC curve of two kinds of scoring system was statistically significant （Z=2.16, P〈0.05）. When the prognosis is divided into infertility group and other conditions, the difference between two area under ROC curve of two kinds of scoring system was statistically significant （Z=2.41, P〈0.05）. When the prognosis was divided into intrauterine pregnancy and ectopic pregnancy, the difference between two area under ROC curve of two kinds of scoring system was not statistically significant （Z=0.92, P〉0.05）. Conclusions Compared with the R-AFS pelvic adhesions scoring system, the new tubal ratings system preoperative score was more efficient on postoperative prognosis forecast.
出处
《全科医学临床与教育》
2013年第1期39-41,共3页
Clinical Education of General Practice
