宫腔镜术后再粘连高危因素配对病例对照研究

Case Control Study on High-risk Factors of Intrauterine Repeated Adhesion Separated by Hyste- roscope

【目的】探讨与宫腔镜术后再粘连相关的高危因素。【方法】收集80例宫腔镜术后再粘连和80例因宫腔粘连经官腔镜术后未再出现粘连者，采用单因素和多因素logistics回归分析，分析临床可能的危险因素。【结果】文化程度、产次、刮宫术史、周期性下腹痛、剖腹产和盆腔炎症等暴露因素在病例组和对照组之间存在差异（P〈0．05），经多因素条件logistics回归分析显示文化程度、产次、刮宫术史和盆腔炎症在两组间存在差异（P〈0．05）。【结论】文化程度、产次、刮宫术史和盆腔炎症为宫腔镜术后再粘连的主要危险因子。

[Objective] To explore the high-risk factors related to intrauterine repeated adhesion separated by hysteroscope. [Methods] Clinical data of 80 patients with intrauterine repeated adhesion separated by hysteroscope and 80 patients without intrauterine repeated adhesion after the operation were collected. Univariate and multivariate logistic analysis was used to analyze the possible risk factors. [Results] There were significant differences in risk factors such as educational level, parity, the history of curettage, cyclical lower abdominal pain, caesarean and pelvic inflammatory between case group and control group（ P 〈0. 05）. Multivariate logis- tic analysis showed that there were significant differences in educational level, parity, the history of curettage and pelvic inflammatory between two groups（ P 〈0.05）. [Conclusion] The educational level, parity, the history of curettage and pelvic inflammatory are the main risk factors of intrauterine repeated adhesion separated by hysteroscope.