影响子宫内膜异位症发病的相关因素调查分析

发布时间：2019-02-28 14:09

【摘要】：目的探讨影响子宫内膜异位症(EM)发病的相关危险因素,为早期防治EM提供依据。方法回顾性选取2014—2016年期间在河南省科技大学附属三门峡市中心医院妇科住院期间确诊为EM的80例患者作为病例组,同时选取同期住院的80例非EM妇科患者作为对照组,比较分析两组患者的各因素,采用多因素Logistic回归分析EM发病的影响因素。结果病例组的初潮年龄、月经周期、产次均小于对照组,差异有统计学意义(P0.05);病例组的结婚年龄、人工流产次数、痛经、不孕、妇科手术史均大于对照组,差异有统计学意义(P0.05);多因素Logistic回归分析,初潮年龄、月经周期为影响EM发病的保护因素,人工流产次数、痛经、不孕、妇科手术史为影响EM发病的危险因素(P0.05)。结论 EM发病的危险因素包括月经初潮年龄小、月经周期短、痛经、人工流产、不孕、妇科手术史,应综合考虑以上危险因素早诊断、早治疗EM,从而提高EM的治愈率和降低复发率。
[Abstract]:Objective to investigate the risk factors of (EM) in endometriosis and to provide evidence for early prevention and treatment of EM. Methods from 2014 to 2016, 80 patients with EM diagnosed during gynecological hospitalization in Sanmenxia Hospital affiliated to Henan University of Science and Technology were selected as the case group, and 80 non-EM gynecological patients who were hospitalized in the same period were selected as the control group. All the factors of the two groups were compared and analyzed. Multiple Logistic regression was used to analyze the factors influencing the onset of EM. Results the menarche age, menstrual cycle and labor in the case group were significantly lower than those in the control group (P0.05). The age of marriage, times of induced abortion, dysmenorrhea, infertility and history of gynecological operation in the case group were all larger than those in the control group, the difference was statistically significant (P0.05). Multivariate Logistic regression analysis showed that menarche age and menstrual cycle were the protective factors affecting the onset of EM, the times of induced abortion, dysmenorrhea, infertility and gynecological operation history were the risk factors for the onset of EM (P0.05). Conclusion the risk factors of EM include age of menarche, short menstrual cycle, dysmenorrhea, induced abortion, infertility and history of gynecological operation. Early diagnosis of above risk factors should be taken into account and early treatment of EM, should be taken into account. In order to improve the cure rate and reduce the recurrence rate of EM.
【作者单位】：河南省科技大学附属三门峡市中心医院妇科;
【分类号】：R711.71

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