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目的探讨影响子宫内膜异位症(EMS)危险因素。方法回顾性分析深圳市龙华新区观澜人民医院2010年6月至2011年6月收治的85例EMS患者为研究对象,并选取80例正常体检妇女为对照组,分析引起子宫内膜异位症的危险因素。结果经多Logistic多因素分析可知,BMI<20 kg/m2(OR:3.066,95%CI:1.021~7.298)、人工流产(OR:1.984,95%CI:1.021~5.201)、自然流产(OR:1.587,95%CI:1.085~3.412)、怀孕次数>2次(OR:1.375,95%CI:1.052~4.101)、个人卫生情况差(OR:1.225,95%CI:1.028~4.015)是导致子宫内膜异位症复发的独立危险因素。结论子宫内膜异位症复发受多种因素影响,通过术前对患者行心理护理、术中严密观察患者病情、术后对患者进行健康指导可有效降低EMS患者术后复发率。
Objective To investigate the risk factors of endometriosis (EMS). Methods A retrospective analysis of 85 patients with EMS who were treated in Guanlan People’s Hospital of Longhua New District from June 2010 to June 2011 was selected as the research object and 80 normal women were selected as the control group to analyze the causes of endometriosis Risk factors. Results The results of multiple logistic multivariate analysis showed that BMI <20 kg / m2 (OR: 3.066, 95% CI: 1.021-7.298), abortion (OR: 1.984, 95% CI: 1.021-5.201) (OR: 1.375, 95% CI: 1.052-4.101), poor personal hygiene (OR: 1.225, 95% CI: 1.028-4.015) Independent risk factors for recurrence of endometriosis. Conclusions The recurrence of endometriosis is affected by many factors. Through preoperative care of the patients and close observation of the patients ’condition during the operation, postoperative patients’ health guidance can effectively reduce the recurrence rate of EMS patients.