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目的:了解掌握我地区已婚妇女子宫肌瘤患病情况。并探讨与子宫肌瘤患病有关的因素。方法:2007年1月~2012年1月我院进行妇女病普查的8261例妇女,均填写统一的妇女病普查体检表.均进行常规妇科检查以及阴道B超检查。结果:8261例调查对象中子宫肌瘤患病率为8.11%(670例),呈逐年增高趋势。不同年龄段子宫肌瘤患病率比较差异有统计学意义(P<0.01),40~49岁年龄段女性子宫肌瘤患病率最高(13.50%)。从事不同职业的女性子宫肌瘤患病率差异有统计学意义(P<0.01)。不同孕次组调查对象子宫肌瘤患病率比较差异有统计学意义(P<0.01),随着孕次增加呈增高趋势。生殖道炎症、安置宫内节育器、口服避孕药均与子宫肌瘤患病率有关差异均有统计学意义(P<0.01)。结论:子宫肌瘤患病率与年龄、职业、孕次、生殖道炎症、口服避孕药及放置节育器均有关,临床上应针对这些影响因素,进行干预。重点针对高危人群采取相应的保健措施,做到早期发现,早期治疗。
Objectives: To understand the prevalence of uterine fibroids in married women in my area. And explore the factors associated with the prevalence of uterine fibroids. Methods: From January 2007 to January 2012, 8261 women who conducted general survey of women’s disease in our hospital were all filled in the uniform physical examination questionnaire of women’s disease, and both routine gynecological examination and vaginal ultrasound examination were performed. Results: The prevalence rate of uterine myoma in 8261 subjects was 8.11% (670 cases), showing an increasing trend year by year. The prevalence of uterine fibroids in different age groups was significantly different (P <0.01). The prevalence of uterine fibroids in women aged 40-49 was the highest (13.50%). The prevalence of uterine fibroids in different occupations was statistically significant (P <0.01). The incidence of uterine fibroids in different pregnancy subgroups was significantly different (P <0.01), and increased with the times of pregnancy. Reproductive tract inflammation, intrauterine device placement, oral contraceptives and the prevalence of uterine fibroids were significantly different (P <0.01). Conclusion: The prevalence of uterine fibroids is related to age, occupation, pregnancy time, reproductive tract inflammation, oral contraceptives and placement of IUDs, and clinical intervention should be made according to these factors. Focus on high-risk groups to take appropriate health measures to achieve early detection, early treatment.