子宫内膜息肉的发病相关高危因素分析

发布时间：2018-05-27 02:28

本文选题：子宫内膜息肉 + 高危因素　；参考：《现代妇产科进展》2015年07期

【摘要】：目的:探讨子宫内膜息肉(EPs)发病的相关因素。方法:选取2012年1月至2014年8月在我院妇科微创中心行宫腔镜及病理检查的患者共592例,根据术后病理结果,其中子宫内膜息肉患者385例及非子宫内膜息肉患者207例,分别记录患者临床资料,采用单因素及多因素分析。结果:子宫内膜息肉患者385例(65%),高发于30~59岁。193例(50.1%)有异常阴道出血,61例为不孕(15.8%),无症状患者116例(30.1%)。单因素分析发现,年龄、绝经、子宫腺肌症、宫颈息肉、糖尿病、高血压(P0.05)是EPs发生的危险因素,产次是EPs发生的保护因素。多因素分析提示,年龄(OR=1.049,95%Cl 1.034~1.065,P0.001)及子宫腺肌症(OR=2.466,95%Cl 1.151~4.012,P0.001)为EPs发生的独立危险因素。结论:年龄及子宫腺肌症是子宫内膜息肉发病相关独立危险因素;绝经、宫颈息肉、糖尿病、高血压患者也存在EPs高发的可能,而产次可能是EPs的保护因素。
[Abstract]:Objective: to investigate the risk factors of endometrial polyps (EPs). Methods: from January 2012 to August 2014, 592 patients underwent hysteroscopy and pathological examination in our gynecological minimally invasive center. According to the postoperative pathological results, 385 cases of endometrial polyps and 207 cases of non-endometrial polyps were selected. The clinical data were recorded and single factor and multi-factor analysis were used. Results: there were 385 cases of endometrial polyps, 65 cases with endometrial polyps, and 61 cases with abnormal vaginal bleeding in 30 ~ 59 years old and 193 cases with abnormal vaginal bleeding. 116 cases of asymptomatic patients were diagnosed as 30. 1%. Univariate analysis showed that age, menopause, adenomyosis, cervix polyp, diabetes mellitus and hypertension (P0.05) were the risk factors of EPs, and labor was the protective factor of EPs. The multivariate analysis indicated that the age of ORX 1.049 ~ 95Cl 1.03434 ~ 1.065 (P 0.001) and uterine adenomyosis (Orr) 2.466 ~ 95Cl 1.151 ~ 4.012 ~ P 0.001) were independent risk factors for the occurrence of EPs. Conclusion: age and adenomyosis are independent risk factors for the development of endometrial polyps, menopause, cervical polyps, diabetes mellitus and hypertension may also have a high incidence of EPs, while delivery may be the protective factor of EPs.
【作者单位】：上海交通大学医学院附属瑞金医院妇产科;
【分类号】：R711.71

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