摘要
目的:探讨宫颈息肉的经阴道彩色多普勒超声诊断价值及其发病相关危险因素分析。方法:选取124例有月经过多、子宫内膜息肉、不孕症、阴道不规律流血及体检等提示有宫颈息肉的患者进行阴道彩色多普勒超声检查,通过详细记述患者发病的相关危险因素后进一步进行统计分析(包括单因素和多因素分析)。结果:单因素统计分析结果示:宫颈息肉的发病与肥胖症、服用避孕药、绝经、雌激素治疗史、子宫内膜息肉、子宫内膜异位症、怀孕次数及绝经有关,具有统计学差异(P <0. 05);多因素统计分析结果示:以上众多因素中,雌激素治疗史、子宫内膜息肉及绝经与宫颈息肉的发生具有独立相关性(P <0. 05),各OR值依次分别为3. 77、3. 98和4. 07。结论:宫颈息肉的经阴道彩色多普勒超声诊断具有明确的临床价值,而宫颈息肉发病的相关危险因素为雌激素治疗史、子宫内膜息肉及绝经。
Objective ：To explore the value of transvaginal color Doppler uhrasonography in the diagnosis of cervical polyps and to analyze the risk factors related to the disease. Methods ：124 cases with menon＇hagia, endometrial polyps, infertility, vaginal irregular bleeding and physical examination with cervical polyps suggested, underwent transvaginal color Doppler ultrasound, and the backward related risk factors of patients wele described with detailed steps for statistical analysis （including analysis of single factor and multi factors ）. Results：The single factor statistical analysis showed that the incidence of cervical polyps associated with obesity, pill, menopause, estrogen treatment history, endometrial polyps, endometriosis, plegnancy and menopause ; thele was statistically significant diffelence （P 〈 0.05 ）. The nmhivariate statistical analysis showed that the above factors, estrogen teatment history, endometrial polyps and postmenopausal and cervical polyps involved independent colxelation （P 〈 0.05 ） , then the OR values were 3.77, 3.98 and 4.07 respectively. Conclusions ：The diagnosis of cervical polyps by transvaginal color Doppler ultrasound has a definite clinical value. The risk factors of cervical polyps are history of estrogen therapy, endometrial polyps and menopause.
作者
张建卿
ZHANG Jianqing(Sanmenxia Central Hospital, Sanmenxia 472000, Henan Province, China)
出处
《山西职工医学院学报》
CAS
2018年第5期12-15,共4页
Journal of Shanxi Medical College for Continuing Education
