子宫肌瘤剔除术后肌瘤复发相关危险因素的评价

Evaluation of Risk Factors Related to Myoma Recurrence After Myomectomy

目的评价子宫肌瘤剔除术后肌瘤复发的相关危险因素。方法回顾性分析2015年1月-2017年12月在我院施行子宫肌瘤剔除术患者的一般资料。对56例患者中,出现肌瘤复发的14例患者进行研究,评价术后肌瘤复发的危险因素。结果单因素分析提示年龄、肌瘤数目、肌瘤直径、术后肌瘤残留是子宫肌瘤剔除术后肌瘤复发的影响因素(P<0.05);在肌瘤位置、术后妊娠方面,肌瘤复发与否无明显差异(P>0.05)。多因素Logistic回归分析显示肌瘤复发的危险因素为年龄小、肌瘤数目多、肌瘤直径大、术后肌瘤残留(P<0.05)。结论子宫肌瘤剔除术后肌瘤复发的危险因素较多,通过危险因素评估采取干预措施,有助于避免肌瘤复发。

Objective To evaluate the risk factors of myoma recurrence after myomectomy. Methods The general data of patients who underwent myomectomy from January 2015 to December 2017 in our hospital were retrospectively analyzed. 14 of 56 patients with myoma recurrence were studied to evaluate the risk factors of myoma recurrence. Results Univariate analysis showed that age, number of leiomyomas, diameter of leiomyomas and residual leiomyomas were the influencing factors for recurrence of leiomyomas after myomectomy(P < 0.05). There was no significant difference in the location of leiomyoma and the pregnancy after operation(P > 0.05). Multivariate logistic regression analysis showed that the risk factors for recurrence of leiomyoma were younger age, more leiomyomas,larger diameter of leiomyomas and residual leiomyomas after operation(P< 0.05). Conclusion There are many risk factors for leiomyoma recurrence after myomectomy. Intervention measures through risk factor assessment can help to avoid leiomyoma recurrence.