Abstract：【Objective】 To explore the clinical value of red blood cell distribution width(RDW) and neutrophil-to-lymphocyte ratio(NLR) in predicting the recurrence risk of patients with glandular cystitis after transurethral plasmakinetic resection.【Methods】 A total of 184 patients with glandular cystitis who underwent transurethral plasmakinetic resection in our hospital from July 2019 to July 2022 were selected. According to the recurrence status, the patients were divided into the recurrence group(n=27) and the non-recurrence group(n=157). The levels of RDW and NLR before and after treatment were compared. Logistic multivariate regression analysis was used to identify the risk factors for postoperative recurrence of glandular cystitis. Receiver operating characteristic(ROC) curve was used to evaluate the clinical value of RDW and NLR in predicting postoperative recurrence of glandular cystitis.【Results】 After treatment, the levels of RDW and NLR in patients were lower than those before treatment, with statistically significant differences(P<0.05). The proportions of urinary tract infection, urinary calculi, high-risk clinical type, diffuse lesion location, and the levels of RDW and NLR in the recurrence group were higher than those in the non-recurrence group, with statistically significant differences(P<0.05). Logistic multivariate regression analysis showed that high-risk clinical type, high RDW level, and high NLR level were risk factors for recurrence of glandular cystitis after transurethral plasmakinetic resection(P<0.05). ROC curve results showed that the sensitivity and specificity of combined detection of RDW and NLR in predicting postoperative recurrence of glandular cystitis were 77.8% and 86.6% respectively, and the area under the ROC curve(AUC) was 0.865, which were better than those of either single detection(P<0.05).【Conclusion】 High levels of RDW and NLR are closely related to the increased recurrence risk of glandular cystitis. The combined detection of RDW and NLR has high sensitivity and specificity for predicting recurrence, and can be used as an effective predictive tool.
余泉峰, 罗荣团, 高轲. RDW、NLR预测腺性膀胱炎患者经尿道等离子电切术后复发风险的临床价值[J]. 医学临床研究, 2025, 42(9): 1534-1537.
YU Quanfeng, LUO Rongtuan, GAO Ke. Clinical Value of RDW and NLR in Predicting Recurrence Risk of Glandular Cystitis Patients after Transurethral Plasmakinetic Resection. JOURNAL OF CLINICAL RESEARCH, 2025, 42(9): 1534-1537.
2025, Vol. 42 
