摘要
目的：初步分析影响妇科良性疾病盆腔积液的相关因素。方法：选择2012年5-10月于北京协和医院接受腹腔镜检查和（或）治疗的育龄期患者,术中留取游离的盆腔积液,测量盆腔积液量并记录临床资料。结果：入组112例患者,平均年龄为31.74±6.85岁,收集的盆腔积液量平均为7.39±6.72 ml,范围为0.3-44.0 ml。主要临床问题包括不育、盆腔粘连、子宫内膜异位症、子宫肌瘤、输卵管积水、畸胎瘤、子宫内膜息肉、子宫腺肌病。与腹腔镜下未发现子宫内膜异位病灶的患者相比,子宫内膜异位症患者的盆腔积液量增加（P〈0.05）。与无相应疾病的患者相比,输卵管积水、盆腔粘连患者的盆腔积液量有减少的趋势,子宫内膜息肉、子宫腺肌病患者的盆腔积液量有增加的趋势,但差异均无统计学意义（P〉0.05）。不育患者与生育力无异常的患者相比,盆腔积液量（7.27±6.71 ml vs 7.83±6.90 ml）差异无统计学意义（P〉0.05）。多因素线性回归分析提示：体重指数增加,盆腔积液量减少;年龄增加,盆腔积液量增加;子宫腺肌病患者盆腔积液量增加;输卵管积水患者盆腔积液量减少。结论：子宫内膜异位症患者的盆腔积液量增加,其他妇科良性疾病及不育患者中未发现盆腔积液量的明显变化。临床中诊断和处理盆腔积液时,应结合疾病及患者的年龄、体重指数进行综合评价。
Objective：To preliminarily analyze the related factors on the volume of pelvic fluid in benign gynecological diseases. Methods：Reproductive patients receiving Laparoscopy and/or Laparoscopic surgery were recruited from May 2012 to October 2012 at the department of Gynecologic endocrinology of Peking Union Medical College Hospital. The free pelvic fluid was collected during the surgery and the volume was measured. The clinical data were recorded. Results ：112 patients were included. Mean age was 31.74 ±6.85 years old. The mean volume of peritoneal fluid was 7.39±6.72 ml, ranging from 0. 3 to 44. 0 ml. The major clinical problems contained infertility, pelvic adhesion, endometriosis, fibroid, hydrosalpinx, teratoma, endometrial polyp, and adenomyosis. Patients with endometriosis diagnosed in laparoscopy had significantly more pelvic fluid than patients without endometriosis（ P 〈0. 05）. The volume of pelvic fluid showed decreasing tendency in patients with hydrosalpinx and in patients with pelvic adhesion, increasing tendency in patients with endometrial polyp and in patients with adenomyosis, but did not show significant difference, with all P 〉 0. 05. Infertilie patients had similar volume of peritoneal fluid with fertile patients,7. 27 ±6. 71 ml vs 7. 83±6. 90 ml,with P 〉 0. 05. Multi-factor linear regression prompted that the volume of fluid may decrease with the body mass index increasing ,the volume may increase with the age increasing,the patients with adenomyosis may had more pelvic fluid, and the patients with hydrosalpinx may had less pelvic free fluid. Conclusions：Patients with endometriosis have more pelvic free fluid. The volume of pelvic fluid may not reflect or influence the fertility of patients with common benign gynecologic diseases. When diagnosing and dealing with pelvic fluid in clinic, gynecologists might as well consider comprehensive assessment of diseases, age, and body mass index.
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2014年第12期910-912,共3页
Journal of Practical Obstetrics and Gynecology
