计划生育手术致子宫穿孔的相关因素分析

Risk Factors Analysis of the Family Planning Operation Causing Uterine Perforation

目的:分析计划生育手术致子宫穿孔发生的相关因素。方法:回顾性分析我院1655例行计划生育手术患者的临床资料,对可能影响计划生育手术致子宫穿孔发生的相关因素进行Logistic回归分析。结果:本组1655例患者中,子宫穿孔总发生率为2.9%(48/1655)。其发生与刮宫史、长期服用避孕药史、哺乳期、瘢痕子宫、子宫过度倾屈有密切关系(P<0.05),而与年龄、婚姻情况、手术种类无关。将单因素分析筛选出有统计学意义的临床因素作多因素逐步Logistic回归,结果发现,哺乳期、长期服用避孕药史、瘢痕子宫、子宫过度倾屈是影响计划生育手术致子宫穿孔发生的独立危险因素。结论:哺乳期、长期服用避孕药史、瘢痕子宫、子宫过度倾屈是影响计划生育手术致子宫穿孔发生的独立危险因素,临床医生应当给予高度的重视,采取有效预防措施最大限度避免和减少子宫穿孔的发生。

Objective To study the associated risk factors of the family planning operation causes uterine perforation. Methods 1655 cases with the family planning operation were retrospectively analyzed.The associated factors of the family planning operation causes uterine perforation were analyzed. Results In 1655 patients who with family planning operation, the incidence of uterine perforation was 2.9%（48/1655）. There was a close relationship between uterine perforation with history of curettage, long-term history of birth control pills, lactation, scar uterus, the uterus excessive bending（P〈0.05）, and had nothing to do with age, marriage status, type of surgery. The related factors by Logistic analysis were as follows：long-term history of birth control pills, lactation, scar uterus, the uterus excessive bending. Conclusions The risk factors of the family planning operation causes uterine perforation were long-term history of birth control pills, lactation, scar uterus, the uterus excessive bending. Clinicians should pay highly attention and take effective preventive measures to avoid and reduce the happening of the uterine maximum.