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目的:探讨子宫切除术后输卵管脱垂(FTP)的发生情况及其危险因素。方法:回顾分析2006年1月~2014年3月在陕西中医学院第二附属医院因良性疾病行全子宫切除术的4210例患者的资料,对可能引起术后FTP的相关因素进行单因素分析及Logistic多因素回归分析。结果:4210例患者中,31例(0.74%)发生FTP。单因素分析结果显示,贫血、术中阴道放置引流管、术后2周内重体力活动、术后感染与子宫切除术后FTP的发生相关(P<0.05)。多因素分析结果显示,贫血(OR=3.703,95%CI=1.057~12.981)、术中阴道放置引流管(OR=6.745,95%CI=1.856~24.512)、术后2周内重体力活动(OR=3.809,95%CI=1.125~12.891)是子宫切除术后FTP的危险因素。结论:子宫切除术后FTP的发生与贫血、术中阴道放置引流管、术后2周重体力活动有关。应针对这些危险因素预防这一并发症的发生。
Objective: To investigate the incidence of tubal prolapse (FTP) and its risk factors after hysterectomy. Methods: The data of 4,210 patients who underwent hysterectomy for benign diseases at the Second Affiliated Hospital of Shaanxi College of Traditional Chinese Medicine from January 2006 to March 2014 were retrospectively analyzed. Univariate analysis was made on the related factors that may lead to postoperative FTP. Logistic regression analysis. Results: Of 4210 patients, 31 (0.74%) experienced FTP. Univariate analysis showed that anemia, intraoperative vaginal drainage tube, heavy physical activity within 2 weeks after operation, and postoperative infection were associated with the occurrence of post-hysterectomy FTP (P <0.05). Multivariate analysis showed that anemia (OR = 3.703, 95% CI = 1.057-12.981), vaginal placement of drainage tube (OR = 6.745, 95% CI = 1.856-24.512), heavy physical activity OR = 3.809, 95% CI = 1.125 ~ 12.891) is a risk factor for post-hysterectomy FTP. Conclusions: The incidence of FTP after hysterectomy is related to anemia, intraoperative vaginal placement of drainage tube and heavy physical activity 2 weeks after operation. Should be against these risk factors to prevent the occurrence of this complication.