【摘要】 目的 探讨盆腔炎性包块患者腹腔镜手术治疗后复发的影响因素，并构建预测模型。方法 选取廊坊市人民医院行腹腔镜手术治疗的168例盆腔炎性包块患者，依据患者术后是否复发分为复发组（42例）和未复发组（126例）。影响因素和预测运用Logistic回归和受试者工作特征（ROC）曲线。结果 经Logistic回归分析显示，年龄20～30岁、既往盆腔手术史、合并子宫颈炎、每日睡眠<8 h、嗜辛辣刺激食物、白细胞计数（WBC）、红细胞沉降率（ESR）及C反应蛋白（CRP）均是盆腔炎性包块患者腹腔镜术后复发的危险因素（P <0.05）;ROC曲线下面积为0.906(95%CI:0.847～0.965)，灵敏度为88.10%，特异度为82.54%。结论 年龄、既往盆腔手术史、子宫颈炎、每日睡眠不足、嗜辛辣刺激食物及炎性因子水平是盆腔炎性包块患者腹腔镜术后复发的影响因素，且预测模型有较高的临床价值。更多还原

【Abstract】 Objective To explore the influencing factors of recurrence in patients with pelvic inflammatory mass after laparoscopic surgery, and to construct a prediction model. Methods A total of 168 patients with pelvic inflammatory mass treated by laparoscopic surgery in Langfang People’s hospital were selected. They were divided into a recurrence group(42 cases) and a non-recurrence group(126 cases), and were based on whether the patients recurred after the operation, influencing factors and prediction using Logistic regression and ROC curve. Results Logistic regression analysis showed that age 20 ～ 30 years, previous pelvic surgery history, cervicitis, daily sleep less than < 8 h, spicy food,white blood cell count(WBC), erythrocyte sedimentation rate(ESR) and C-reactive protein(CRP) were all risk factors for recurrence of pelvic inflammatory mass after laparoscopic surgery(P < 0.05). The ROC area under the curve for predicting the recurrence of pelvic inflammatory mass after laparoscopic surgery was 0.906(95% CI : 0.847 ～ 0.965), with a sensitivity of 88.10% and a specificity of 82.54%. Conclusions Age, previous pelvic surgery history, cervicitis, lack of daily sleep, spicy food and inflammatory factors are all risk factors for recurrence of pelvic inflammatory mass after laparoscopic surgery, and the prediction model has high clinical value.更多还原