重度盆腔器官脱垂患者治疗方案选择的相关因素分析

目的 探究影响重度盆腔器官脱垂(POP)患者选择治疗方案的相关因素.方法 采用回顾性研究方法 ,择取2012年1月至2014年12月就诊于解放军总医院第一附属医院妇产科的150例重度盆腔器官脱垂患者(Ⅲ~Ⅳ期),根据采用治疗方案的不同,分为手术治疗组和非手术治疗组,手术治疗组96例,非手术治疗组54例,分析两组患者的具体病情,包括就诊年龄、身体质量指数(BMI)、发病年龄和年限、脱垂的严重程度、既往手术史、有无内科并发症(如心脏病、糖尿病)等差异.结果 回归分析结果 显示,BMI(OR:1.341,95%CI:1.281~1.496)、就诊年龄(OR:1.336,95%CI:1.775~1.596)、后盆腔脱垂分度(OR:1.299,95%CI:1.270~1.588)、患病年限(OR:0.944,95%CI:0.920~0.965)是影响POP患者选择不同治疗方式的影响因素(均P<0.05).结论 在接受手术治疗的盆腔器官脱垂患者中,具有BMI高,后盆腔脱垂分度高的特点,而相对年轻,患病年限长的患者更倾向于选择非手术的治疗方式.

Related factors of selecting treatment options for severe pelvic organ prolapse

Objective To investigate the related factors of selecting treatment options for patients with severe pelvic organ prolapse ( POP) . Methods A retrospective study was conducted to select 150 cases of severe POP (Ⅲ-Ⅳstage ) visiting First Affiliated Hospital of PLA General Hospital during the period of January 2012 to December 2014.The cases were divided into surgery treatment group (n=96) and non-surgery treatment group (n=54) according to treatment.The specific conditions of two groups were analyzed, including age, BMI, onset age and duration, severity of POP, surgery history and internal medical complications (such as heart disease, diabetes).Results The regression analysis showed that BMI (OR=1.341, 95%CI:1.281-1.496), age (OR=1.336, 95%CI:1.775-1.596), pelvic prolapse stage (OR=1.299,95%CI:1.270-1.588), illness duration (OR=0.944,95%CI:0.920-0.965) were factors affecting patient's selection of POP treatment (all P<0.05).Conclusion Patients with surgery treatment for POP have the characteristics of high BMI and pelvic prolapse stage, while relatively young patients and those with long duration of illness prefer non-surgical treatment.