子宫切除后发生输卵管脱垂的危险因素分析

发布时间：2018-04-26 03:13

本文选题：子宫切除术 + 输卵管脱垂　；参考：《现代妇产科进展》2015年06期

【摘要】：目的:探讨子宫切除术后输卵管脱垂(FTP)的发生情况及其危险因素。方法:回顾分析2006年1月~2014年3月在陕西中医学院第二附属医院因良性疾病行全子宫切除术的4210例患者的资料,对可能引起术后FTP的相关因素进行单因素分析及Logistic多因素回归分析。结果:4210例患者中,31例(0.74%)发生FTP。单因素分析结果显示,贫血、术中阴道放置引流管、术后2周内重体力活动、术后感染与子宫切除术后FTP的发生相关(P0.05)。多因素分析结果显示,贫血(OR=3.703,95%CI=1.057~12.981)、术中阴道放置引流管(OR=6.745,95%CI=1.856~24.512)、术后2周内重体力活动(OR=3.809,95%CI=1.125~12.891)是子宫切除术后FTP的危险因素。结论:子宫切除术后FTP的发生与贫血、术中阴道放置引流管、术后2周重体力活动有关。应针对这些危险因素预防这一并发症的发生。
[Abstract]:Objective: to investigate the incidence and risk factors of fallopian tube prolapse after hysterectomy. Methods: the data of 4210 patients undergoing hysterectomy for benign diseases in the second affiliated Hospital of Shaanxi Institute of traditional Chinese Medicine from January 2006 to March 2014 were retrospectively analyzed. Univariate analysis and Logistic multivariate regression analysis were performed to analyze the related factors that may cause postoperative FTP. Results FTP was found in 31 out of 4210 patients. The results of univariate analysis showed that anemia, intraoperative vaginal drainage tube placement, heavy physical activity within 2 weeks after hysterectomy, postoperative infection and FTP after hysterectomy were associated with P0.05. The results of multivariate analysis showed that the risk factors of FTP after hysterectomy were 3.703 ~ 95CII 1.05757 ~ 12.981g, intraoperative vaginal placement of a draining tube 6.745 ~ 95CII 1.856 ~ 24.512, and physical activity 3.809 ~ 95CI1.12512.891) within 2 weeks after hysterectomy. Conclusion: the occurrence of FTP after hysterectomy is related to anemia, placement of drainage tube in vagina and heavy physical activity 2 weeks after hysterectomy. These risk factors should be targeted to prevent this complication.
【作者单位】：陕西中医学院第二附属医院;
【分类号】：R713.42

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