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 Polypsand Establishmentof Prediction Model

ZHOUWeiwei，GEXiaohua

（DepartmentofObstetricsand Gynecology，ChaohuHospitalofAnhui University，Chaohu38Ooo，Anhui，China）

Abstract：ObecieTeloeredivufarlgodelofsctofoecurefdomeriallsEsdforet map.Methodstotalof98aientsundewetranscervicalpolyesectioCRPinaouHospitalofAnuedicalUstfrom January222tuar2edforlopodngteosoperaiodos，yreiditoecureod nonrecurrenceopLgsticnalysisasusedtonalyteisfactorsofostoperativeecurecandaecurecewaringodelas constructed to analyze the predictive value of the model.Results Univariate results showed that age ？ 4 0 years old，body mass index combinedwithuterinefibroidsandpostoperativeuntreatedweretheinfluencingfactorsofpostoperativerecurrnceinEPpatients Multivariate Logistic analysis showed that body mass index ，uterine fibroids，and no use of progesterone drugs after surgerywere independent risk factors for EPrecurrence（ P<0 . 0 5 ） .Postoperative use of progesterone and Mirena ring were independent protective factors for recurrence after TCRP.The forest map showed that body mass index ，uterine fibroids，and postoperative untreated were all positively correlated risk factors，which did not intersect with the invalid line .The risk early warning model was constructed based on the forest map. TheHosmer-LemeodoffitestodtatteodeldgofitinfTeiverperatinghracterstiOC）uresoe that the AUC was 0.887（95%CI： 0.808-0.967），the sensitivity was 7 3 . 8 0 % ，and the specificity was 9 2 . 9 0 % .Conclusion The early warning model of riskfactorforecueceofdoetralplssdofrestapsgodpredictievaueichanprovideelableasisfolcalarly targeted prevention and recurrence measures.

KeyWords：Endometrial polyp；Risk factors for recurrence；Forest map；Prediction model

子宫内膜息肉（endometrial polyp，EP）是子宫内膜表面腺体和基质过度生长，常认为是良性病变。（剩余5023字）