泗水Soetomo医生医院妇科门诊子宫脱垂患者的危险因素特征

Vemaniarti Lian Pravitasari, E. Kurniawati, Pirlina Umiastuti
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摘要

子宫脱垂是由于子宫的韧带和筋膜支撑失效而发生的。由于生殖道功能障碍,给患者带来不便,降低了患者的生活质量。风险因素是多因素的。高龄、胎次增加、阴道分娩和更年期与子宫危险因素有关。本研究的目的是描述泗水Soetomo博士综合学术医院子宫脱垂妇女的阶段、治疗、年龄、胎次、阴道分娩和更年期状况。方法:本研究为描述性研究。样本包括2017年1月至12月在泗水Soetomo综合学术医院诊断和治疗的所有子宫脱垂患者。统计学进行描述性分析。结果:2017年泗水Soetomo综合学术医院妇科门诊82例子宫脱垂患者中,年龄≥65岁者占45.1%,多产者占62.2%。超过一半的患者(61%)阴道分娩超过三次,并经历了更年期(91.5%)。IV期脱垂33例(40.2%),比例最高。其中保守治疗47例,占57.3%。结论:子宫脱垂多见于年龄较大的妇女,主要发生在>65岁年龄组。子宫脱垂的发生率可能增加多胎妇女,阴道分娩超过三次,并已经过更年期。大多数患者处于第四期,接受了保守治疗。对妇女进行子宫脱垂危险因素的教育是预防子宫脱垂的重要手段。
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Risk Factor Characteristics Of Patients With Uterine Prolapse In Gynecology Outpatient Clinic In Dr. Soetomo Hospital, Surabaya
Introduction: Uterine prolapse can occurs due to the failure of the ligamentous and fascial supports of the uterus. It causes inconvenience to the patients because of genital tract dysfunction and decrease quality of life. The risk factor are multifactorial. Advancing age, increasing parity, vaginal delivery, and menopause is associated with the uterine risk factors. The aim of this study is to describe the stage, treatment, age, parity, vaginal delivery, and menopause status of women with uterine prolapse in Dr. Soetomo General Academic Hospital, Surabaya. Methods: This research is a descriptive study. The sample is included all women with complaints of uterine prolapse diagnosed and treated at Dr. Soetomo General Academic Hospital, Surabaya from January – December 2017. Statistical was analysed descriptively.Results: From total 82 patients of uterine prolapse in Gynecology Outpatient Clinic Dr. Soetomo General Academic Hospital, Surabaya in 2017, most of the uterine prolapse patients were older than 65 years old (45.1%) and multiparous (62.2%). More than half of the patients (61%) have had more than three vaginal deliveries and have gone through menopause (91.5%). Stage IV prolapse, 33 cases (40.2%) has the highest percentage. Mostly, 47 cases (57.3%) received conservative treatment. Conclusion: Uterine prolapse is most likely to be found in women with older age, came from those in the age group of >65 years old. The incidence of uterine prolapse might increase in multiparous women, have more than three vaginal deliveries, and have gone through menopause. Most of them is on stage IV and received conservative treatment. It is important for women to be educated about uterine prolapse risk factor as an uterine prolapse prevention.
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