Clinical Study Of Risk Factors Associated With Recurrence After Conservative Treatment Of Postmenopausal Pyometra

Objective To collect and sort out the clinical data of patients with conservative treatment of postmenopausal uterine empyema,and analysis of risk factors and recurrence rates of recurrence after conservative treatment.Method To investigate and collect the inpatient medical records of patients conservative treatment of postmenopausal uterine empyema who admitted to the gynecology department of Minda Hospital Affiliated to Hubei Minzu University from June 2014 to June 2018.A total of 218 patients met the inclusion criteria.The follow-up period was 1 month after cure,and the follow-up time was 1 year.Record the patient`s age,age of menopause,years of menopause,number of pregnancies,dueationg of illness,diabetes mellitus with chronic diseases,hypertension,heart disease,pelvic floor dysfunction,chronic pelvic inflammation,vaginitis,vulvitis,uterine drainage and ultrasound pyometrium in detail.And a total of 14 risk factors that may affect recurrence.The data were input into the statistical software SPSS 17.0for analysis.By univariate analysis,statistically significant risk factors were statistically significant.In alpha=0.05,Risk factors that may affect recurrence were included in the Logistic regression model to analyze the risk factors associated with recurrence of postmenopausal uterine empyema.Result 218 patients with conservative treatment postmenopausal uterine empyema who met the inclusion crieria were collected,and 25 patients with recurrence after cure.The results showed that the one-year recurrence rate after conservative treatment of postmenopausal uterine empyema was 11.5%.Intergroup analysis of 14 risk factors that may affect recurrence,By univariate analysis,menopausal age,menopausal years,number of pregnancies,course of disease,diabetes mellitus with chronic diseases,hypertension,heart disease,pelvic floor dysfunction,chronic pelvic inflammation,intrauterine drainage and ultrasound pyometrium volume.12 risk factors were statistically significant(P < 0.05).Logistic regression model was used forthe above 12 risk factors for multivarivate analysis.The risk factors related to recurrence were number of pregnancies(OR=1.67,P=0.012),diabetes mellitus(OR=8.62,P=0.012),course of disease(OR=1.01,P=0.001),intrauterine drainage(OR=1.08,P=0.023).Conclusion Through statistical analysis,it was found that the recurrence of postmenopausal uterine empyema after conservative treatment was affected by many factors.More than five times of pregeancy,more than 30 ml of uterine pus extraction,more than 120 days of disease,combined with diabetes are the main risk factors for recurrence after conservative treatment of postmenopausal uterine empyema.The 1-year recurrence rate of postmenopausal pyometra after conservative treatment was 11.5%.Our country is gradually entering an aging age.Postmenopausal women are the predisposing group of uterine empyema.Early detection of risk factors should be given early intervention to effectively prevent recurrence.