摘要
目的分析腹腔镜子宫肌瘤剔除术后不孕危险因素,并讨论防护对策。方法选取2017年1月—2019年12月在医院接受腹腔镜下子宫肌瘤剔除术297例患者为研究对象,按照是否妊娠分为妊娠组58例和未妊娠组239例,通过单因素和多因素Logistic回归分析确定影响腹腔镜子宫肌瘤剔除术后不孕的危险因素。结果单因素分析显示,年龄、肌瘤个数、肌瘤最大直径、术后卵巢早衰、盆腔粘连程度、术中损伤输卵管是腹腔镜子宫肌瘤剔除术后不孕的影响因素(P<0.05)。多因素Logistic回归分析显示,年龄、术中损伤输卵管、最大肌瘤直径、术后卵巢早衰是腹腔镜子宫肌瘤剔除术后不孕的影响因素(P<0.05)。结论腹腔镜子宫肌瘤剔除术患者年龄、术中损伤输卵管、最大肌瘤直径、术后卵巢早衰等,导致患者不孕或妊娠率随之降低,医护人员应加强应对措施,降低风险发生。
Objective To analysis the risk factors of infertility after laparoscopic myomectomy and discuss the protective measures.Methods 297 patients who underwent the laparoscopic myomectomy in the hospital from January 2017 to December 2019 were selected as the research objects,according to the pregnancies,they were divided into a pregnant group with 58 cases and non-pregnant group with 239 cases.Univariate and multirariate Logistic regression were applied to corfi rm the risk factors of infertility after laparoscopic myome ctomy.Results Univariate analysis showed that,age,number of fi broids,maximum diameter of fi broids,postoperative premature ovarian failure,pelvic adhesion and operation time were the infwencing factors of infertility after laparoscopic myomectomy(P<0.05).Multivanate Logistic regression analysis showed that age,operation time,maximum fibroids diameter and postoperative premature ovarian failure were the influencing factors of infertility after laparoscopic myomectomy(P<0.05).Conclusion Age,length of operation,maximum fibroids diameter and premature ovarian failure of the patients after laparoscopic uterine fibroids removal,the pregnancy ability or pregnancy rate of the patients also decreases.Medical staff s should improve the countermeasures,reduce the risk occurrence.
作者
王英杰
WANG Yingjie(Tianjin Hospital,Tianjin,300211,China)
出处
《护理实践与研究》
2021年第15期2245-2248,共4页
Nursing Practice and Research
