妊娠合并卵巢良性肿物发生胎膜早破的相关影响因素分析  

Analysis of related influencing factors of premature rupture of membranes in pregnancy complicated with benign ovarian mass

作　　者：洪秋华 黄纪渺 镇澜[2] 衣欢 HONG Qiuhua;HUANG Jimiao;ZHEN Lan;YI Huan(College of Clinical Medicine for Obstetrics&Gynecology and Pediatrics,Fujian Medical University,Fujian Province,Fuzhou 350001,China;Fujian Provincial Maternal and Child Health Hospital,Fujian Province,Fuzhou 350001,China)

机构地区：[1]福建医科大学妇儿临床医学院,福建福州350001 [2]福建省妇幼保健院,福建福州350001

出　　处：《妇儿健康导刊》2025年第4期82-85,106,共5页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

基　　金：国家妇科临床重点专科(闵财指[2023]21号);福建省妇科临床重点专科(闽卫医政函[2022]884号);福建省卫生健康中青年领军人才研修培养项目(闽卫人函[2023]26号)。

摘　　要：目的分析妊娠合并卵巢良性肿物发生胎膜早破的相关影响因素。方法回顾性分析2014年1月至2020年12月福建省妇幼保健院妇产科收治的472例妊娠合并卵巢良性肿物患者的临床资料,根据胎膜早破情况分为胎膜早破组(n=131)与无胎膜早破组(n=341),采用单因素和多因素logistic回归分析妊娠合并卵巢肿物患者发生胎膜早破的影响因素。结果两组卵巢肿物大小和孕次比较,差异有统计学意义(P<0.05)。多因素logistic回归显示,卵巢肿物≥8cm是妊娠合并卵巢肿物患者发生胎膜早破的独立危险因素[OR=2.54,95%CI(1.37~4.43),P=0.003],孕次≥3次是保护因素[OR=0.49,95%CI(0.28~0.85),P=0.011]。结论妊娠合并卵巢良性肿物≥8cm会增加胎膜早破风险,临床应强化对高危妊娠孕妇的管理,并及时干预,以改善不良妊娠结局。Objective To analyze the related influencing factors of premature rupture of membranes in pregnancy complicated with benign ovarian mass.Methods The clinical data of 472 patients in pregnancy complicated with benign ovarian mass admitted to the Department of Obstetrics and Gynecology of Fujian Provincial Maternal and Child Health Hospital from January 2014 to December 2020 were retrospectively analyzed.According to the situation of premature rupture of membranes,they were divided into premature rupture of membranes group(n=131)and non-premature rupture of membranes group(n=341).Univariate and multivariate logistic regression analysis were used to analyze the influencing factors of patients premature rupture of membranes in pregnancy complicated with benign ovarian mass.Results There were significant differences in ovarian tumor size and times of pregnancy between the two groups(P<0.05).Multivariate logistic regression showed that ovarian mass≥8 cm was an independent risk factor for premature rupture of membranes in pregnant women with ovarian mass(OR=2.54,95%CI[1.37-4.43],P=0.003),and pregnancy≥3 times was a protective factor(OR=0.49,95%CI[0.28-0.85],P=0.001).Conclusion Pregnancy complicated with benign ovarian mass≥8 cm will increase the risk of premature rupture of membranes.Clinical management of high-risk pregnant women should be strengthened and timely intervention should be given to improve the adverse pregnancy outcomes.

关 键 词：妊娠 卵巢良性肿物 胎膜早破 孕次 

分 类 号：R714.56[医药卫生—妇产科学]