【摘要】 目的:调查在妇科住院病人中盆腔器官脱垂的发生率和风险因素。方法:选择非急诊、无加用腹压的禁忌症的妇科住院病人作为研究对象,采用盆腔器官脱垂量化分期系统(pelvic organ prolapse quantification,POP-Q),病人取膀胱截石位,向下屏气时测量POP-Q各数值,并调查相关风险因素。结果:收集到4 362例病例,年龄18~84岁,未产妇991例(占22.72%),经产妇3 371例(占77.28%);盆腔器官脱垂的发生率:0期46.49%,期43.88%,期6.17%,期2.41%,期1.05%。重度POP的风险因素包括年龄大于40岁、低雌二醇水平、经产和多次分娩史。结论:妇科住院病人中盆腔器官脱垂的发生率明显低于国外文献报道。更多还原

【Abstract】 Objective To investigate the incidence and risk factors of pelvic organ prolapse(POP) in hospital gynecologic population.Methods The subjects were gynecological inpatients without the contraindication of breathholding underwent a pelvic organ prolapse quantification (POP-Q) examination and completed a prolapse risk factor investigation.The POPQ examinations were done in the dorsal lithotomy position with the patient performing a maximal breathholding.Results 4 362 cases were collected aged 18 to 84 years,nullipara cases 991(22.72%) and multipara cases 3 371(77.28%).The incidence of pelvic organ prolapse quantification stage was 46.49%(stage 0),43.88%(stageⅠ),6.17%(stageⅡ),2.41%(stage Ⅲ) and 1.05%(stage Ⅳ).The risk factors of severe POP included 40 years old or older,low level of estradial,multipara and history of multiple birth.Conclusion The incidence of pelvic organ prolapse in our gynecologic population is lower than that reported abroad.更多还原