50例妇科良性疾病盆腔积液相关因素探讨.docVIP

50例妇科良性疾病盆腔积液相关因素探讨 　　[摘要] 目的 调查分析妇科良性疾病盆腔积液的相关影响因素，为妇产科盆腔疾病的及时诊断治疗提供理论依据。方法 随机选取2013年3月―2015年7月该院接受治疗的50例妇科良性疾病患者作为研究对象，根据超声检查及手术证实结果对患者分组，观察记录患者年龄、身高、体重等基本资料，分析妇科良性疾病盆腔积液的相关影响因素，测定盆腔积液量。 结果 子宫内膜异位症患者盆腔积液量与非子宫内膜异位病灶患者相比明显增加（P0.05）。相关因素分析结果显示年龄、体重、子宫内膜异位症及输卵管积水等因素会致使盆腔积液产生明显变化。 结论 子宫内膜异位症患者盆腔积液变化明显。年龄越高、体重指数越大则盆腔积液量越多。 　　[Abstract] Objective To survey and analyze the related influencing factors of benign gynecologic disease of pelvic effusion thus providing theoretical basis for timely diagnosis and treatment of pelvic disease in the obstetrics and gynecology department. Methods 50 cases of patients with benign gynecologic disease treated in our hospital from March 2013 to July 2015 were randomly selected as the research object and divided into groups according to the ultrasonic examination and operative results， the basic data such as age， height and weight of the patients were observed， the related influencing factors of benign gynecologic disease？of pelvic effusion were analyzed and the pelvic effusion volume was measured. Results The pelvic effusion volume of patients with endometriosis was obviously increased compared with that of patients without endometriosis lesions（P0.05）， the related factor analysis results showed that the factors such as age， weight， endometriosis and hydrosalpinx could cause pelvic effusion to produce obvious changes. Conclusion The pelvic effusion change of patients with endometriosis is obvious， the older the age， the bigger the weight indicator， the more the pelvic effusion amount. 　　[Key words] Benign gynecologic disease； Pelvic effusion； Influencing factors 　　盆腔积液属于盆腔炎性渗出物，其多出现在盆腔炎或子宫内膜异位症后，直肠子宫陷凹是盆腔积液最早出现的位置，超声检查游离盆腔积液也多以此部位为主[1]。因判定标准的差异以及人群的不同，超声检查在体检或疾病普查中发现的盆腔积液率差异较大，相关报道指出在4.8%～14.33%[2-3]。该次研究以2013年3月―2015年7月于该院治疗的50例妇科良性疾病患者作为研究对象，调查分析妇科良性疾病盆腔积液的相关影响因素，借以为妇产科盆腔疾病的及时诊断治疗提供理论依据，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　随机选取于该院接受治疗的50例妇科良性疾病患者作为研究对象，纳入标准：接受腹腔镜检查、治疗的育龄患者，腹腔镜检查中见直肠子宫陷凹或膀胱子宫陷凹积液者。所有患者均为育龄期，患者年龄：23～47岁（32.3±2.1）岁。其中