子宫肌瘤发病的相关因素分析

The Study of Influencing Factors of Uterine Leiomyomas

目的:探讨子宫肌瘤发生的相关危险因素及其之间的关系。方法:随机抽取临床资料可靠及完整的子宫肌瘤病例250例进行病例对照回顾性分析。采用描述性分析、单因素分析、Logistic回归分析的分析方法。结果:子宫肌瘤病例年龄多集中在41～50岁之间,上海城镇居民较外地来沪人口罹患子宫肌瘤的风险要高,超重、多次行人工流产、合并妇科炎症者明显增加子宫肌瘤发生的危险性。卵巢囊肿、年龄、人工流产次数>2次、附件炎可能是子宫肌瘤发生的独立危险因素。结论:子宫肌瘤发病具有年龄集中趋势,多次人工流产、合并附件炎及卵巢囊肿的患者其罹患子宫肌瘤风险较高。

Objective： To analyze the related influencing factors of uterine leiomyomas, and find out independent risk factors of uterine leiomyomas. Methods： 250 eases of uterine leiomyomas were investigated by stratified random sampling. The materials investigated were as follows： age, living habits, BIM, reproductive history, ermnenia, and contraceptive methods, inflammation of gynecology, etc. A ease-control study was conducted to analyze the related influencing and risk factors of uterine leiomyomas. The statistics methods included the matched t test, matched chi-quire test, univariate analysis, and conditional muhinomial logistic regression analysis. Results： The risk factors of uterine leiomyomas included： age, fatness, repetitious induced abortion, and inflanmmation of gynecology. Ovarian cyst, ages, repetitious induced abortion and appendagitis may be four independent risk factors. Conclusions： Older, repetitious induced abortion, appendagitis, and ovarian cyst make women more susceotible to uterine leiomvomas.