子宫肌瘤剔除术后复发的相关危险因素观察

Observation of related risk factors in recurrence after myomectomy

目的探讨行子宫肌瘤剔除术后复发的相关危险因素,进一步指导临床。方法 106例行子宫肌瘤剔除术患者,对其临床资料进行回顾性分析,观察子宫肌瘤剔除术后复发的相关危险因素。结果行子宫肌瘤剔除术106例患者中,23例复发,复发率为21.7%。子宫肌瘤剔除术后复发与患者的年龄、肌瘤数目、肌瘤大小有关,而与产次、子宫肌瘤的位置关系、术后妊娠情况无关,其中年龄、肌瘤数目、子宫肌瘤大小是子宫肌瘤术后复发的独立危险因素,而术后妊娠是子宫肌瘤术后复发的保护因素。结论子宫肌瘤剔除术后复发的相关危险因素较多,行子宫肌瘤剔除术要充分评估其危险因素,制定合理的手术方案,有效的降低术后复发率。

Objective To investigate related risk factors in recurrence after myomectomy, in order to provide further clinical guide. Methods Clinical data of 106 patients undergoing myomectomy were retrospectively analyzed, and their related risk factors in recurrence after myomectomy were observed. Results Among 106 myomectomy patients, there were 23 relapsed cases, with the recurrence rate as 21.7%. Postoperative recurrence was related with age, fibroids number and size, and it had no relationship with parity, fibroids location, and postoperative gestation. The independent risk factors of postoperative recurrence included age, fibroids number and size. Postoperative gestation was the protective factor of postoperative recurrence. Conclusion Recurrence after myomectomy contains various related risk factors. Full evaluation of risk factors and rational formulation of operation method can effectively reduce recurrence rate after myomectomy.