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[目的]探讨妇女子宫肌瘤发病率及相关因素。[方法]对济南市部分机关企事业单位6 260名已婚妇女为普查对象,逐个询问病史、常规妇科和彩色多普勒超声检查。[结果]2004年2月至2005年4月,普查6 260名,查出子宫肌瘤946例,患病率15.11%。40~49岁患病率最高(23.62%),29岁以下患病率最低(1.53%),不同年龄组间的差异有统计学意义(P<0.01)。普查无怀孕史者104人,查出子宫肌瘤5例,患病率为4.81%;普查有怀孕史者6 156人,查出子宫肌瘤941例,患病率为15.29%,差异有统计学意义(P<0.01)。查出妇科炎症者953例,患病率为15.23%。946例子宫肌瘤患者中查出妇科炎症者302例,患病率为31.92%。[结论]子宫肌瘤的发生与妇女的年龄、是否有炎症及怀孕史密切相关。
[Objective] To investigate the incidence and related factors of uterine fibroids in women. [Methods] 6 260 married women from enterprises, institutions and institutions in Jinan City were selected as the census subjects, and their medical history, routine gynecology and color Doppler ultrasound were examined one by one. [Results] From February 2004 to April 2005, there were 6 260 censuses, 946 cases of uterine fibroids were found, the prevalence was 15.11%. The highest prevalence rate was found between 40 and 49 years old (23.62%) and the lowest under 29 years old (1.53%). There was a significant difference between different age groups (P <0.01). There were 104 pregnant women with no pregnancy history and 5 cases of uterine fibroids were found, the prevalence was 4.81%. There were 6 156 pregnant women with a history of pregnancy, 941 cases of uterine fibroids were found, the prevalence was 15.29% Significance (P <0.01). 953 cases of gynecological inflammation were detected, the prevalence was 15.23%. In 946 patients with uterine fibroids, 302 cases of gynecological inflammation were detected, the prevalence was 31.92%. [Conclusion] The incidence of uterine fibroids is closely related to women’s age, whether there is inflammation and pregnancy history.