子宫内膜息肉的经阴道超声诊断价值及其发病相关危险因素探讨  

Investigation on the related factors of clinical incidence and the ultrasound diagnostic value of endometrial polyps

作　　者：陈静[1] 吴伟英[1] 蒙俊[1] 练丹[1] 计柳玉[1] 

机构地区：[1]广西医科大学第四附属医院超声科,广西柳州545005

出　　处：《中国医师进修杂志》2013年第27期18-20,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的探讨子宫内膜息肉（EMP）的经阴道超声诊断价值及其发病相关危险因素。方法对有阴道不规则流血、月经过多、不孕、宫颈息肉、体检提示可疑EMP等的278例患者行经阴道超声检查，详细记录患者发病相关危险因素，并进行单因素及多因素分析。结果单因素分析结果显示，孕次、绝经、放置宫内节育器、口服避孕药、雌激素治疗史、慢性子宫内膜炎、宫颈息肉、合并子宫内膜异位症、肥胖与EMP发病有关，差异有统计学意义（P〈0．05或〈0．01）。将以上因素作为因变量进行多因素分析，结果显示慢性子宫内膜炎、绝经、雌激素治疗史和宫颈息肉与EMP发病独立相关（P〈0．05），其OR值分别为4．122、4．068、3．770和3．983。结论绝经、慢性子宫内膜炎、雌激素治疗史、宫颈息肉均为EMP发病的相关危险因素。Objective To investigate the related factors of clinical incidence and the ultrasound diagnostic value of endometrial polyps （EMP）. Methods A total of 278 patients with clinical abnormal vaginal bleeding,menorrhagia,infertility,cervical polyps or physical examination showing EMP received vaginal ultrasound and hysteroscopy. The related clinical factors were recorded and single factors and multivariate unconditional Logistic regression analysis were carried. Results The univariate analysis showed that the number of pregnancy,menopause,placing intrauterine device,oral comtraceptives,history of hormone therapy, chronic endometritis, cervical polyp, merger endometriosis and obesity were the statistically significant factors of EMP incidence （P 〈 0.05 or 〈 0.01 ）,which were used as dependent variables for multivariate Logistic regression analysis, indicating that menopause, chronic endometritis, history of hormone therapy and cervical polyp significantly affecting EMP incidence （P 〈0.05）,with OR values of 4.068, 4.122,3.770 and 3.983 respectively. Conclusion Menopause,chronic endometritis,history of hormone therapy, cervical polyps are the related risk factors of EMP.

关 键 词：息肉 子宫内膜 危险因素 LOGISTIC模型 

分 类 号：R711.7[医药卫生—妇产科学]