| 洪蕾,禹鑫,舒欣,刘燕娜,章春泉,郭良云.术前超声联合血浆D-二聚体水平预测附件扭转角度≥720°[J].中国医学影像技术,2023,39(3):401~405 |
| 术前超声联合血浆D-二聚体水平预测附件扭转角度≥720° |
| Preoperative ultrasound combined with plasma D-dimer levels for predicting adnexal torsion angle ≥ 720° |
| 投稿时间：2022-09-21 修订日期：2023-01-18 |
| DOI：10.13929/j.issn.1003-3289.2023.03.019 |
| 中文关键词: 子宫附件疾病 卵巢扭转 纤维蛋白片段D 超声检查 |
| 英文关键词:adnexal diseases ovarian torsion fibrin fragment D ultrasonography |
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| 中文摘要: |
| 目的 观察术前超声联合血浆D-二聚体水平预测附件扭转（AT）角度≥720°的价值。方法 回顾性分析94例经手术证实的单侧AT患者，根据术中评估扭转角度将其分为AT角度<720°组（n=36）及AT角度≥720°组（n=58）。采用单因素及多因素logistic回归分析筛选AT角度≥720°的临床及超声相关独立危险因素；绘制受试者工作特征（ROC）曲线，计算曲线下面积（AUC），评估单一及多项独立危险因素联合预测AT角度≥720°的效能。结果 AT角度≥720°组生育史、血浆D-二聚体水平、手术途径、手术方式、超声所示扭转附件移位及受累卵巢水肿与AT角度<720°组差异均有统计学意义（P均<0.05）。血浆D-二聚体升高、超声显示扭转附件移位及受累卵巢水肿为预测AT角度≥720°的独立危险因素，三者联合的AUC为0.842。结论 术前超声联合血浆D-二聚体水平可有效预测AT角度≥720°。 |
| 英文摘要: |
| Objective To observe the value of preoperative ultrasound combined with plasma D-dimer level for predicting adnexal torsion (AT) angle ≥ 720°. Methods Data of 94 patients with unilateral AT confirmed with surgical operation were retrospectively analyzed. The patients were divided into AT angle <720° group (n=36) or AT angle ≥ 720° group (n=58) according to the torsion angle evaluated during surgical operation. Univariate analysis and multivariate logistic regression analysis were used to screen clinical and ultrasound-related independent risk factors for AT angle ≥ 720°. Receiver operating characteristic (ROC) curves were drawn, and areas under the curve (AUC) were calculated to evaluate the efficacy of each independent risk factor alone and the combination for predicting AT angle ≥ 720°. Results Significant differences of fertility history, plasma D-dimer level, surgical approach, surgical method, abnormal position of the adnexal mass and involved ovary edema detected with ultrasound were found between AT angle ≥ 720° group and AT angle <720° group (all P<0.05). Increased plasma D-dimer, abnormal position of adnexal mass and involved ovary edema detected with ultrasound were all independent risk factors for AT angle ≥ 720°, and the combined AUC of the above three indexes was 0.842. Conclusion Preoperative ultrasound combined with plasma D-dimer level could effectively predict AT angle ≥ 720°. |
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