中年女性子宫肌瘤复发的相关危险因素及手术对策

Observation on Recrudescent Risk Factors and Operation Countermeasure of Hysteromyoma about Middle-aged Female

目的:探讨中年女性子宫肌瘤复发的相关危险因素及手术对策。方法:将我院实施子宫肌瘤剔除术的患者100例进行随访研究,观察复发率,分析复发因素。结果:本组100例患者术后5年内复发43例,复发率达43.00%;其中57例患者接受经腹部切除术中复发21例,23例患者接受阴式切除术中复发10例,20例患者接受经腹腔镜切除术中复发12例,三种手术方式的术后复发率比较差异无统计学意义(P>0.05)。本组患者术后5年内复发率达43.00%,其复发率与患者手术时的年龄、肌瘤个数、肌瘤大小及术后时间等因素密切相关(P<0.05)。结论:影响子宫肌瘤术后复发的因素颇多,积极有效的手术处理措施是防止其复发的关键。

Objective：To investigate the recrudescent risk factors and operation countermeasure of hysteromyoma about middle-aged female.Methods：100cases received the hysteromyoma resection were folloed-up and the recrudescent and operation countermeasure of hysteromyoma were analyzed.Results：There were 43 cases with recurrence within 5years in 100 patients,and the recurrence rate was 43%.Among 57 patients undergoing abdominal hysterectomy,there were 21 cases with recurrence,among the 23 patients undergoing vaginal hysterectomy,there were 10 cases of recurrence,and among the 20 patients received laparoscopic resection,there were 12 cases of recurrence.There were no statistically significant differences in three kinds of operation mode about the postoperative recurrence rate（P〈0.05）.The relapse rate in 5years was 43.00%in this group.The relation between the relapse rate and age,myoma piece,myoma size and postoperative time is closed（P〉0.05）.Conclusion：The factors of recrudescent risk factors of hysteromyoma about middle-aged female are more,so effective operation measures are is the important turning point to prevent the relapse.