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目的:调查在妇科住院病人中盆腔器官脱垂的发生率和风险因素。方法:选择非急诊、无加用腹压的禁忌症的妇科住院病人作为研究对象,采用盆腔器官脱垂量化分期系统(pelvic organ prolapse quantification,POP-Q),病人取膀胱截石位,向下屏气时测量POP-Q各数值,并调查相关风险因素。结果:收集到4 362例病例,年龄18~84岁,未产妇991例(占22.72%),经产妇3 371例(占77.28%);盆腔器官脱垂的发生率:0期46.49%,期43.88%,期6.17%,期2.41%,期1.05%。重度POP的风险因素包括年龄大于40岁、低雌二醇水平、经产和多次分娩史。结论:妇科住院病人中盆腔器官脱垂的发生率明显低于国外文献报道。
Objective: To investigate the incidence and risk factors of pelvic organ prolapse in gynecological inpatients. Methods: The gynecological inpatients who were selected as non-emergency and no contraindications of abdominal pressure were selected as the research object. The pelvic organ prolapse quantification (POP-Q) Measure the POP-Q values while holding the breath, and investigate the relevant risk factors. Results: A total of 4 362 cases were collected, ranging in age from 18 to 84 years, 991 cases (22.72%) were unfertile women and 3 371 (77.28%) were mothers. The incidence of pelvic organ prolapse was 46.49% in stage 0, 43.88%, 6.17%, 2.41%, 1.05%. Risk factors for severe POP include those older than 40 years of age, low estradiol levels, history of births and multiple deliveries. Conclusion: The incidence of pelvic organ prolapse in gynecological inpatients was significantly lower than that reported in foreign literature.