子宫肌瘤剔除术后复发的危险因素病例对照研究

A case-control study on risk factors of recurrence after myomectomy

目的探讨子宫肌瘤剔除术后复发的危险因素,为临床降低术后复发提供依据。方法采用病例对照研究的方法,收集189例符合条件的手术子宫肌瘤患者进行跟踪随访,调查复发情况及相关危险因素。结果随访的189例子宫肌瘤患者中,术后复发率为28.6%;术后肌瘤复发的因素包括体重指数(BMI)(OR=2.401)、手术年龄(OR=0.625)、术前孕次(OR=0.591)、术前肌瘤数量(OR=3.480)、子宫大小(OR=1.923)。结论针对这些因素,术前应严格选择手术适应证,有复发危险因素的应综合考虑制定治疗方案。

[ Objective ] To explore the risk factors of recurrence after myomectomy, provide the basis for reducing the recurrence after surgery. [ Methods] With the case-control study, 189 hysteromyoma patients who accorded with diagnosis standard were collected, and a follow-up study was conducted to investigate the recurrence condition and related risk factors. [ Results] Among 189 cases of hysteromyoma, the rate of recurrence after surgery was 28. 6%. The risk factors relate to recurrence included BMI （ OR = 2. 401 ）, operation age （ OR = 0.625 ）, times of pregnancy （ OR = 0. 591 }, numbers of myoma （ OR = 3. 480 ） and size of u- terus （ OR = 1. 923 ）. [ Conclusion ] According to these risk factors, doctors Should strictly choose operation indication before operation, and comprehensively formulate treatment scheme if the patient has these risk factors.