中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
12期
4-6
,共3页
子宫内膜异位症%病例对照研究%危险因素
子宮內膜異位癥%病例對照研究%危險因素
자궁내막이위증%병례대조연구%위험인소
Endometriosis%Case-control study%Risk factors
目的：探讨不孕妇女子宫内膜异位症患病高危因素及变化情况。方法以病例对照研究方法，选取2007—2012年在该院就诊的不孕症妇女810例，经腹腔镜确诊的250例子宫内膜异位症患者及同期不孕症正常盆腔153例为对照研究，进行子宫内膜异位症患病危险因素的条件Logisitic回归分析。结果调查的不孕妇女中子宫内膜异位症的患病率30.86%；不孕病程、体重指数、经期长短、月经周期长短、月经形式、子宫内膜异位症家族史、痛经程度、经量、性交痛、口服避孕药、妊娠史、盆腔痛等因素，研究组与对照组间差异有统计学意义（P<0.05）。多因素Logisitic回归分析显示：年龄、不孕病程、体重指数、痛经、盆腔痛、性交痛、子宫内膜异位症家族史与子宫内膜异位症的风险因素有关。结论在不孕症妇女子宫内膜异位症发病因素中体重指数较低、子宫内膜异位症家族史、月经史、盆腔痛等相关因素起重要作用。妊娠次数多提示是子宫内膜异位症的保护因素。
目的：探討不孕婦女子宮內膜異位癥患病高危因素及變化情況。方法以病例對照研究方法，選取2007—2012年在該院就診的不孕癥婦女810例，經腹腔鏡確診的250例子宮內膜異位癥患者及同期不孕癥正常盆腔153例為對照研究，進行子宮內膜異位癥患病危險因素的條件Logisitic迴歸分析。結果調查的不孕婦女中子宮內膜異位癥的患病率30.86%；不孕病程、體重指數、經期長短、月經週期長短、月經形式、子宮內膜異位癥傢族史、痛經程度、經量、性交痛、口服避孕藥、妊娠史、盆腔痛等因素，研究組與對照組間差異有統計學意義（P<0.05）。多因素Logisitic迴歸分析顯示：年齡、不孕病程、體重指數、痛經、盆腔痛、性交痛、子宮內膜異位癥傢族史與子宮內膜異位癥的風險因素有關。結論在不孕癥婦女子宮內膜異位癥髮病因素中體重指數較低、子宮內膜異位癥傢族史、月經史、盆腔痛等相關因素起重要作用。妊娠次數多提示是子宮內膜異位癥的保護因素。
목적：탐토불잉부녀자궁내막이위증환병고위인소급변화정황。방법이병례대조연구방법，선취2007—2012년재해원취진적불잉증부녀810례，경복강경학진적250례자궁내막이위증환자급동기불잉증정상분강153례위대조연구，진행자궁내막이위증환병위험인소적조건Logisitic회귀분석。결과조사적불잉부녀중자궁내막이위증적환병솔30.86%；불잉병정、체중지수、경기장단、월경주기장단、월경형식、자궁내막이위증가족사、통경정도、경량、성교통、구복피잉약、임신사、분강통등인소，연구조여대조조간차이유통계학의의（P<0.05）。다인소Logisitic회귀분석현시：년령、불잉병정、체중지수、통경、분강통、성교통、자궁내막이위증가족사여자궁내막이위증적풍험인소유관。결론재불잉증부녀자궁내막이위증발병인소중체중지수교저、자궁내막이위증가족사、월경사、분강통등상관인소기중요작용。임신차수다제시시자궁내막이위증적보호인소。
Objective The aim of this study is to explore the risk factors related to endometriosis among infertile women and the varia-tion. Methods A case-control study was designed based on the data of 810 cases of infertile women admitted in Women&Infants Hos-pital of Zhengzhou from 2007 to 2012.According to the laparoscopy findings, 250 cases of women diagnosed with endometriosis and 153 cases of infertile women with normal pelvis were selected as the subjects for the controlled study.Logistic regression analysis was used to analyze the risk factors related to endometriosis. Results The prevalence of endometriosis in infertile women was 30.86%. There were statistically significant differences between the study group and the control group in infertility duration, body mass index, menstru-al length, the length of the menstrual cycle, menstrual form, the family history of endometriosis, dysmenorrhea extent, menstrual volume, dyspareunia, oral contraceptives, pregnancy history, pelvic pain, and other factors (P<0.05). Multi-factor logistic regression analysis showed that age, duration of infertility, body mass index, dysmenorrhea, pelvic pain, dyspareunia, and the family history of endometrio-sis are the risk factors related to endometriosis. Conclusion Low BMI value,a family history of endometriosis, menstrual history and pelvic pain are high risk factors of the infertile women with endometriosis, whereas multi-pregnancy is a protective factor of en-dometriosis.
