子宫切口瘢痕憩室形成的相关因素研究

发布时间：2018-12-17 01:00

【摘要】：目的探讨子宫切口瘢痕憩室(PCSD)形成的相关因素。方法选取2012年5月—2014年5月因经期延长、淋漓不尽来郑州大学第二附属医院就诊的既往有剖宫产史的患者1 086例,对患者的基本资料、剖宫产围术期情况、PCSD的发生情况3个部分进行调查。采用Logistic回归分析PCSD形成的高危因素。结果 1 056例有效问卷中,发生PCSD 52例,发生率为4.9%。剖宫产次数≥2次〔OR=7.885,95%CI(2.206,28.181)〕、胎膜早破〔OR=3.664,95%CI(1.709,7.853)〕、产程延长〔OR=5.200,95%CI(2.086,12.966)〕、择期手术〔OR=2.408,95%CI(1.230,4.718)〕、子宫后位〔OR=1.954,95%CI(1.018,3.751)〕、多胎(胎数≥2)妊娠〔OR=3.823,95%CI(1.715,8.522)〕、体质量增加≥20 kg〔OR=6.896,95%CI(3.084,15.424)〕、轻/中度贫血〔OR=3.460,95%CI(1.071,11.179);OR=8.057,95%CI(3.652,17.773)〕是PCSD形成的高危因素(P0.05)。144例2次剖宫产患者,手术间隔时间2年的PCSD发生率为63.6%(14/22),高于2~5年(17.1%,6/35)、5年(26.4%,23/87)PCSD的发生率,差异均有统计学意义(P=0.000、0.001)。结论具有多次剖宫产史、再次剖宫产间隔时间2年、胎膜早破病史、产程延长、择期手术、子宫后位、肥胖、贫血、多胎因素的剖宫产患者,术后患PCSD的风险增加。
[Abstract]:Objective to investigate the factors related to the formation of (PCSD) in scar diverticulum of uterine incision. Methods from May 2012 to May 2014, 1 086 patients with history of cesarean section were selected from the second affiliated Hospital of Zhengzhou University. The basic data of the patients and the perioperative period of cesarean section were analyzed. The occurrence of PCSD was investigated in 3 parts. The high risk factors of PCSD formation were analyzed by Logistic regression analysis. Results among 1 056 valid questionnaires, 52 cases (4.9%) had PCSD. The frequency of cesarean section 鈮，

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