子宫切除后发生输卵管脱垂的危险因素分析  

Analysis on the risk factors for tubal prolapse after hysterectomy

作　　者：王惠 苏敏君 WANG Hui;SU Min-jun(Department of Obstetrics and Gynecology,Songjiang District Maternal and Child Health Hospital,Shanghai 201600,China)

机构地区：[1]上海市松江区妇幼保健院妇产科,上海201600

出　　处：《临床和实验医学杂志》2018年第8期856-858,共3页Journal of Clinical and Experimental Medicine

基　　金：上海市松江区科学技术攻关项目(编号:165JGG30)

摘　　要：目的探讨子宫切除后发生输卵管脱垂的危险因素。方法回顾性选择2015年11月至2017年10月在上海市松江区妇幼保健院行全子宫切除术并发生输卵管脱垂并发症的患者共32例作为病例组,另外选择同期在上海市松江区妇幼保健院行全子宫切除术未发生并发症者的128例作为对照组。记录并分析子宫切除后输卵管脱垂发生的危险因素,包括年龄、体重指数(BMI)、术前贫血、术前阴道炎、术中发现盆腔粘连、术中放置引流管等。结果单因素分析发现,术中发现盆腔粘连(χ~2=11.524,P=0.001)、术中放置引流管(χ~2=33.400,P<0.001)在病例组与对照组之间差异有统计学意义。进一步Logistic回归发现,术中放置引流管、术中发现盆腔粘连是子宫切除术后发生输卵管脱垂的危险因素,其中术中放置引流管的危险度较高(OR=5.345,95%CI:3.441~9.123)。结论术中放置引流管与术中发现盆腔粘连是影响子宫切除后发生输卵管脱垂的高危因素,临床实践中应注意控制危险因素,预防子宫切除后发生输卵管脱垂。Objective To explore the risk factors for tubal prolapse after hysterectomy.Methods A total of 32 patients with fallopian tube prolapse after hysterectomy during November 2015 to October 2017 in this hospital as case group were collected and studied.In addition,128 patients without complications after hysterectomy in this hospital were selected as control group.The risk factors for tubal prolapse after hysterectomy were recorded and analyzed,these factors including age,BMI,preoperative anemia,preoperative vaginitis,intraoperative pelvic adhesion,intraoperative drainage and so on.Results Univariate analysis showed that intraoperative pelvic adhesion and intraoperative drainage tube placement between case group and control group were statistically different.Gradual logistics regression found that placement of intraoperative drainage tube(χ2=11.524,P=0.001)and intraoperative pelvic adhesion(χ2=33.400,P<0.001)were risk factors for tubal prolapse after hysterectomy,and placement of drainage tube is a higher risk factor(OR=5.345,95%CI:3.441~9.123).Conclusion Intraoperative drainage tube and intraoperative pelvic adhesions are risk factors for tubal prolapse after hysterectomy,and clinicians should pay more attention to prevent tubal prolapse after hysterectomy.

关 键 词：子宫切除 输卵管脱垂 危险因素 

分 类 号：R713.42[医药卫生—妇产科学]