子宫内膜异位症治疗后复发的临床分析

Clinical Analysis of Recurrence of Endometriosis after Treatment

目的:分析子宫内膜异位症治疗后的复发因素。方法:选择2011年1月-2013年11月笔者所在医院收治的120例子宫内膜异位症患者,回顾性分析其临床资料,根据治疗方法不同将其分为A、B、C三组,其中保守手术治疗的56例患者为A组,半保守手术治疗的36例患者为B组,根治性手术治疗的28例患者为C组,探讨治疗后复发的相关因素。结果:经随访13例患者复发,A组术后复发率为19.64%(11/56),B组复发率为5.56%(2/36),C组的复发率为0,A组复发率明显高于B组和C组,差异有统计学意义(P<0.05)。经统计该病复发相关因素主要包括年龄、疾病分期及术后药物治疗。结论:临床治疗子宫内膜异位症时需要根据患者年龄、病理类型、疾病分期合理选择治疗方式,术后协同药物来预防复发。

Objective：To analyze the recurrence factors of endometriosis after treatment.Method：120 cases with endometriosis from January 2011 to November 2013 in the author’s hospital were selected,which were retrospectively analyzed the clinical data,according to different treatment the patients were divided into three groups A,B,C,including conservative surgical treatment of 56 cases in group A,including conservative surgical treatment for 36 cases in group B, radical surgical treatment of 28 cases in group C,to explore the related factors of recurrence after treatment.Result：After follow-up of 13 patients with recurrence, postoperative recurrence rate was 19.64%（11/56） in group A,group B recurrence rate was 5.56%（2/36）,group C recurrence rate was 0,the recurrence rate of group A was significantly higher than group B and group C,the difference was statistically significant （P〈0.05）. Through the disease recurrence related factors including age,disease stage and postoperative medication.Conclusion：In the clinical treatment of endometriosis,it should choose reasonable treatment plan according to the patient’s age,histological type and stage of disease,and take collaborative drugs to prevent postoperative recurrence.