Prolapsus uteri ile epidemiyolojik faktörlerin ilişkisi: beş yıllık vakaların retrospektif analizi

Aim: To investigate the relationship between the degree of prolapsus uteri and epidemiological factors. Material and Methods: 235 patients who admitted to Ege University School of Medicine Obstetrics and Gynecology clinic between 2004- 2009 with the diagnose of prolapsus uteri were investigated about epidemiologic and clinical parameters. 36 cases with total prolapsus were study group whereas the rest with variable degree of other stages were control group (n=199). Clinical correlations were age, parity, previous pelvic operation, previous ceaserean section, reproductive period and smoking. Results: The ages were mean 66.75 in the study group whereas it was mean 59.84 in the control group. The mean age was statistically significant higher in the study group (p< 0.05). The mean reproductive period was 34.63 years in the study group, whereas it was mean 34.55 in the control group. There was no statistically significant difference about reproductive period between two groups. The mean parity was 3 in the study group whereas it was mean 2 in the control group. There was no significant difference about parity between both groups (p> 0.05), however the number of grand-multiparous women were significantly higher in the study group (p< 0.05). There was no statistically significant difference between both groups about the number of previous pelvic operations and previous cesarean sections (p> 0.05). Conclusion: Aging and grand-multiparity are predisposing factors for total prolapsus uteri. Studies with wide patient populations with all degrees of prolapsus are needed for accurate results.

Amaç: Prolapsus uteri tanılı hastalarda epidemiyolojik faktörlerin prolapsusun şiddeti ile ilişkisinin araştırılması amaçlandı. Yöntem ve Gereç: 2004-2009 yılları arasında Ege Üniversitesi Tıp Fakültesi Kadın Hastalıkları ve Doğum kliniğine başvuran ve prolapsus tanısı almış 235 olgu retrospektif olarak taranarak epidemiyolojik ve klinik veriler elde edildi. Total prolapsuslu 36 olgu çalışma grubunu oluştururken, çeşitli derecelerde prolapsusa sahip geri kalan olgular (n=199) kontrol grubunu oluşturdu. Çalışmamızda 36 total prolapsuslu olgu çalışma grubunu ve diğer 199 hasta da kontrol grubunu oluşturdu. Klinik korelasyonlar yaş, parite, pelvik operasyon öyküsü, sezaryen öyküsü, reprodüktif süre ve sigara öyküsünü içermekteydi. Bulgular: Çalışma grubunun yaş ortalaması 66,75 ve kontrol grubunun yaş ortalaması 59,84 idi. Çalışma grubundaki hastaların yaş ortalaması istatistiksel olarak anlamlı olarak daha ileri bulundu (p