女性盆腔脏器脱垂患病危险因素分析

Analysis of Risk Factors of Female Pelvic Organ Prolapse

目的:对我院妇科近5年盆腔脏器脱垂(POP)手术患者进行调查分析,探讨POP患病危险因素及其特点。方法:采用非条件Logistic回归分析方法确定与POP有关的危险因素;χ2或t检验进行维汉不同民族患病危险因素的比较。结果:256例POP手术患者经单因素及多因素分析,得出患者年龄、民族、体重指数(BMI)、产次、阴道分娩、绝经、便秘以及子宫切除术后8项为POP发生的相关危险因素(P<0.05);维吾尔族与汉族POP患者各危险因素比较,患者年龄、BMI、初产、产次4项因素差异有统计学意义(P<0.05)。结论:POP患病原因除了与不同民族及区域有关外,同时与衰老、绝经、阴道分娩、长时间腹内压增加及医源性损伤等因素也有关。

Objective：Operation patients with pelvic organ prolapse（POP）from June,2003 to June,2008 were recruited to investigate the risk factors of POP and its clinical features.Methods：The non-conditional Logistic regression analysis was used to identify the risk factors of POP,χ^2 or t test was applied for comparison of differences of risk factors between Wei and Han ethnic groups.Results：256 cases of POP surgery were reviewed and univariate and multivariate analysis were done.Patient＇s age,ethnicity,body mass index,parity times,vaginal delivery,menopause,constipation,and history of hysterectomy were risk factors of POP（P〈0.05）;Compared between Wei and Han ethnic group,risk factors of POP were age,body mass index,early marriage and parity times（P〈0.05）.Conclusions：Risk factors of POP include aging,menopause,vaginal delivery,long term increased pressure in intra-abdominal cavity and iatrogenic injury,apart from regional difference.