宫腔镜电切术治疗子宫黏膜下肌瘤术后复发的多因素分析

The related risk factors analysis of recurrence of submucosal myoma of uterus after hysteroscopic surgery

目的探讨影响宫腔镜电切术治疗子宫黏膜下肌瘤术后复发的相关因素。方法回顾分析2007年1月～2011年1月在该院住院行宫腔镜电切术治疗的48例子宫黏膜下肌瘤患者的临床资料,对可能影响患者术后复发的相关临床因素进行分析。结果年龄、BMI、肌瘤家族史、初潮年龄、肌瘤分型与肌瘤术后复发率密切相关(P<0.05)。多因素逐步Logistic回归结果发现BMI、初潮年龄及肌瘤分型是影响宫腔镜电切术治疗子宫黏膜下肌瘤术后复发的独立因素。结论 BMI、初潮年龄、肌瘤分型是影响宫腔镜电切术治疗子宫黏膜下肌瘤术后复发的独立因素,早期诊断、全面评估术前肌瘤的情况及根据每个患者的实际情况给予相应辅助预防方案等对减少肌瘤复发、改善患者预后具有重要的临床意义。

【Objective】To analyze the related risk factors of recurrence of submucosal myoma of uterus after hysteroscopic surgery. 【Methods】48 cases who were diagnosed as submucosal myoma of uterus and undergoing hysteroscopic surgery was analyzed with retrospective cohort study.All the patients were followed up regularly after operation,and the postoperative recurrence rate was calculated. Univariate and multivariate analysis were performed for possible factors related to recurrence.【Results】The age, BMI, tumor of family history, menarche age and type of uterine myoma were related factors of recurence （P 0.05）. BMI, menarche age and type of uterine myoma came out to be the main risk factors of the recurrence by Logistic. 【Conclusion】The related risk factors of recurrence of submucosal myoma of uterus after hysteroscopic surgery are BMI, menarche age and type of uterine myoma. Early diagnosis, assessment and treatment for each patient are important to decrease recurrence and improve the prognosis of patients.