盆腔脏器脱垂患者的高危影响因素的分析

目的探讨盆腔脏器脱垂患者的高危影响因素,以期对盆腔脏器脱垂患者早发现、早治疗.方法收集2017年12至2018年12月诊断为盆腔脏器脱垂患者198例,采用POP-Q分度法进行分度,分析POP-Q分度与患者年龄、妊娠次数、分娩次数、体重增加等因素关系.结果198例盆腔脏器脱垂患者中,Ⅰ度脱垂50例,Ⅱ度脱垂138例,Ⅲ度脱垂10例.Ⅰ度脱垂组平均年龄(32.2±5.6)岁,Ⅱ度脱垂组平均年龄(32.3±6.4)岁,Ⅲ度脱垂组平均年龄(43.5±12)岁,三组患者年龄差异有统计学意义(P<0.05).年龄、分娩方式、分娩次数、胎儿体重、孕期体重增加均是影响盆腔脏器脱垂严重程度的高危因素,其中最高危的是分娩方式,其次为分娩次数.结论年龄、分娩方式、分娩次数及胎儿体重与盆腔脏器脱垂严重程度呈正相关,孕次、孕期体重增加并不影响盆腔脏器脱垂严重程度.

Objective To investigate the risk factors of 198 patients with pelvic organ prolapse,in order to facilitate the early detection and early treatment of pelvic organ prolapse.Methods Patients who were diagnosed as pelvic organ prolapse by pelvic floor examination in our hospital from December 2017 to December 2018 were collected.The POP-Q scoring was used to conduct the grading,and the relationship between the POP-Q scoring and the patient's age,pregnancy frequency,delivery frequency,weight gain and other factors was studied.Results Among the 198 patients with pelvic organ prolapse,50 cases were in the primary prolapse group,138 cases were in the secondary prolapse group,and 10 cases were in the tertiary prolapse group.The mean age of the primary prolapse group was 32.2±5.6,the mean age of the secondary prolapse group was 32.3±6.4,and the mean age of the tertiary prolapse group was 43.5±12.3.Age,mode of delivery,delivery frequency,fetal weight and pregnancy weight gain were all risk factors affecting the severity of pelvic organ prolapse,among which the most high-risk was delivery mode,followed by delivery frequency.Conclusion Age,mode of delivery,delivery frequency and fetal weight are positively correlated with the severity of pelvic organ prolapse.Pregnancy frequency and pregnancy weight gain has no effect on the severity of pelvic organ prolapse.