子宫内膜异位症复发相关因素探讨

Recurrence of endometriosis associated factors discussed in this paper

目的分析和探究临床上诱发子宫内膜异位症复发的相关因素。方法随机抽取了我院在2014年1月~2015年1月收治的46例子宫内膜异位症复发患者作为研究对象,对他们的复发因素进行探讨。结果单因素分析发现手术分期、术后药物治疗、子宫腺肌病、后穹窿触痛结节、痛经史、合并盆腔炎和术后妊娠等都与子宫内膜异位症复发有关,而多因素Logistic回归分析发现,手术分期、术前痛经、术后未用药物药物治疗、合并盆腔炎、后穹窿痛性结节、子宫腺肌病等因素是诱发子宫内膜异位症复发的危险因素,而术后妊娠是保护因素。结论子宫内膜异位症首选治疗方案为手术治疗,但是治疗后手术分期、术前痛经、术后未用药物药物治疗、合并盆腔炎、后穹窿痛性结节、子宫腺肌病等因素都有可能诱发子宫内膜异位症复发,而术后妊娠可以抑制子宫内膜异位症复发,因此在临床治疗及康复过程中要对其给予重视,从而有效降低子宫内膜异位症复发的可能性。

Objective Analysis and exploration of clinical factors related to recurrence of endometriosis. Methods 46 cases of endometriosis recurrence in our hospital in January 2014-2015 January were randomly selected as the research objects, and their recurrence factors were discussed. Results Univariate analysis showed that surgical staging, postoperative medication, adenomyosis, Tender nodules in the posterior vaginal fornix, dysmenorrhea history, with pelvic inflammation and postoperative pregnancy are associated with endometriosis recurrence, multivariate Logistic regression analysis found that surgical staging, preoperative and postoperative dysmenorrhea medication, not with drugs with pelvic inflammation, pain after fornix nodules, adenomyosis are risk factors induced by endometriosis recurrence, and postoperative pregnancy is due to protection.Conclusion Endometriosis is the preferred treatment for surgical treatment, but after treatment, the preoperative surgical staging of dysmenorrhea, without postoperative drug treatment, combined with pelvic inflammation, Tender nodules in the posterior vaginal fornix, adenomyosis and other factors are likely to induce endometriosis recurrence, and postoperative pregnancy can inhibit endometriosis recurrence, so in clinical treatment and rehabilitation process should pay attention to it, so as to effectively reduce the possibility of recurrence of endometriosis.