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目的调查海南地区老年妇女子宫肌瘤流行病学情况及其患病危险因素。方法多阶段整群随机抽取海南地区16个市、区、县年满60岁及以上妇女2 443例进行妇科检查及子宫超声检查。结果子宫肌瘤患者103例(4.22%),经多因素Logistic回归分析发现,年龄、行政划区、文化程度、民族、职业及孕次与子宫肌瘤患病率有密切关系(P<0.05)。结论子宫肌瘤患病率受多因素作用,临床上应加强老年女性妇科检查。
Objective To investigate the prevalence of uterine fibroids in elderly women in Hainan and its risk factors. Methods A multistage cluster randomized 2 443 women aged 60 years and over in 16 cities, districts and counties in Hainan Province to carry out gynecological examinations and uterine ultrasonography. Results There were 103 cases with uterine fibroids (4.22%). According to the multivariate logistic regression analysis, the age, administrative zoning, educational level, ethnicity, occupation and pregnancy times were closely related to the prevalence of uterine fibroids (P <0.05) . Conclusions The prevalence of uterine fibroids is influenced by many factors. The gynecological examination of elderly women should be strengthened in clinic.