女性盆腔脏器脱垂术后2年内复发的影响因素分析

An analysis of influencing factors for recurrence of female pelvic organ prolapse within 2 years after surgery

目的分析女性盆腔脏器脱垂(POP)术后2年内复发的影响因素。方法 POP且行手术治疗的女性患者424例,术后2年内复发者57例(复发组),无复发者367例(无复发组)。分析术后2年内复发的临床特征和影响因素。结果 424例POP患者术后2年内复发率13.4%,再手术率约为21.1%。术后复发的临床表现主要为腹部下坠感、排尿困难、便秘和性交不适等。多因素logistic回归分析显示,BMI≥30 kg/m2、绝经史、长期素食饮食和子宫切除是POP患者术后2年内复发的危险因素(P<0.05),而长期食用豆制品和术后规律性生活是保护因素(P<0.05)。结论女性患者POP术后2年内复发与肥胖、绝经史、长期素食饮食、子宫切除和术后性生活等因素密切相关,针对性予以早期宣教及干预治疗可能是减少POP术后复发的有效策略。

Objective To analyze the influencing factors for recurrence of female pelvic organ prolapse(POP) within 2 years after surgery.Methods A total of 424 female POP patients underwent POP surgery within 2 years were divided into two groups of A(with recurrence after surgery, 57 cases) and B(without recurrence after surgery, 367 cases).The clinical characteristics and influencing factors for the recurrence were analyzed.Results The recurrence rate of POP within 2 years after operation in 424 POP patients was 13.4%,in whom the reoperation rate was about 21.1%.The main clinical manifestations of postoperative recurrence were abdominal falling feeling, dysuria, constipation and discomfort during intercourse.Multivariate logistic regression analysis showed that BMI ≥30 kg/m2,history of menopause, long-term vegetarian diet and hysterectomy were the risk factors for the recurrence within 2 years after surgery(P<0.05),while long-term consumption of soy products and regular sexual life after surgery were the protective factors(P<0.05).Conclusion The recurrence of POP within 2 years after POP surgery in the females is closely related to the factors such as obesity, history of menopause, long-term vegetarian diet, hysterectomy and regular postoperative sexual life.Early education and intervention for the above factors may be an effective strategy to reduce the recurrence within 2 years after POP surgery.