实用妇产科杂志2017，Vol.33Issue(7)：530-533,4.
盆腔器官脱垂及压力性尿失禁的相关因素分析
Relative Factors Analysis for Pelvic Organ Prolapse and Stress Urinary Incontinence
摘要
Abstract
Objective:To explore the risk factors of pelvic organ prolapse and stress urinary incontinence factors.Methods:A total of 625 patients,who undergone surgery for pelvic floor reconstuction from January 2007 to January 2016 in the Third Affiliated Hospital of Zhengzhou University,were enrolled for this study.Among which 454 cases of pelvic organ prolapse were assigned as group A,and 171 cases of stress urinary incontinence were assigned as group B.Meanwhile,449 female healthy subjects were selected as control group.The data including the times of gestation and parity,history of menopause,hysterectomy surgery,chronic hypertension,diabetes mellitus,history of perineal laceration,uterine fibroid and leucorrhea were recorded and analyzed by single factor analysis and multi-factor Logistic repression analysis.Results:Single factor analysis showed that the proportion of patients in group A who had the history of hysterectomy,menopause and perineal lacerationwas significantly higher than the control group(P ＜0.05).The proportion of patients in group B who had the history of menopausal,hypertension,perineal laceration was significantly higher than the control group(P＜0.05).The proportion of patients in goup A and B who had the existence of lactobacillus,more times of gestation and paritywere significantly higher than the control group (P ＜ 0.05).Multi-factors analysis showed that the history of hysterectomy,menopause,perineal laceration,gravidity idity,parity are independent risk factors for pelvic organ prolapse;perineal laceration,gravidity,parity are independent risk factors for stress urinary incontinence.The existence of lactobacillus in the vagina is a protective factors for stress urinary incontinence and pelvic organ prolapse.Conclusions:The history of hysterectomy,more times of gestation and parity,perineal laceration and lack of lactobacillus may be involved in the development of pelvic organ prolapse and stress urinary incontinence.The existence of lactobacillus in the vagina is a protective factor.关键词
盆腔器官脱垂/压力性尿失禁/乳杆菌/危险因素Key words
Pelvic organ prolapse/Stress urinary incontinence/Lactobacillus/Risk factors分类
医药卫生引用本文复制引用
张志红,胡孟彩,鲍颖洁,黄杰,郑雪芹..盆腔器官脱垂及压力性尿失禁的相关因素分析[J].实用妇产科杂志,2017,33(7):530-533,4.基金项目
河南省教育厅科学技术研究重点项目(编号:14B320006) （编号:14B320006）
