浅析妇科良性疾病盆腔积液相关因素任冬梅.docVIP

浅析妇科良性疾病盆腔积液相关因素任冬梅 海伦市妇幼保健院152300 摘要：目的研究并探讨妇科良性疾病盆腔积液的相关影响因素。方法此次研宄 的对象是选取2013年3月一2015年7月该院接受治疗的50例妇科良性疾病患 者，将其临床资料进行回顾性分析。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、体重等基木资料，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(Plt;0.05)o输卵管积水及盆腔粘连患者与非该 疾病患者相比，盆腔积液减少；子宫内膜息肉以及子宫腺疾病与非该病症患者相 比，盆腔积液量有所增加；但差异无统计学意义(Pgt；0.05)o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。 关键词：妇科，良性疾病，盆腔积液 [Abstract] Objective To investigate and discuss the related factors of pelvic effusion in gynecological benign diseases. Methods the study was conducted in 50 patients with benign gynecologic disease who received treatment from July 2015 to March 2013. The clinical data were retrospectively analyzed. Based on the ultrasonic examination and surgery confirmed results to patient group observed record patient age， height, weight and other basic information, analysis of the related factors of gynecological benign diseases of pelvic effusion, determination of amount of pelvic fluid. Results the amount of pelvic effusion in patients with endometriosis was significantly increased compared with that of non endometriosis patients (Plt;0.05) . Tubal seeper and patients with pelvic adhesions and non the disease compared with patients, reduce pelvic effusion； endometrial polyps and uterine gland diseases and non the disease compared with patients， pelvic effusion increased； but the difference was not statistically significant (P gt; 0.05) ? Related factors analysis showed that age， weight, endometriosis and fallopian tube water and other factors will cause significant changes in pelvic fluid. Conclusion the change of pelvic effusion in patients with endometriosis is obvious. The higher the age， the larger the body mass index， the more the amount of pelvic effusion. Key words： Gynecology， benign disease， pelvic effusion 盆腔积液属于盆腔炎性渗出物，苏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，超卢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