子宫肌瘤剔除术后患者的复发情况及其相关危险因素分析

Analysis of recurrence and related risk factors in patients after uterine myomectomy

目的分析子宫肌瘤剔除术后患者的复发情况及其相关危险因素。方法回顾性分析我院2018年2月至2019年3月收治的160例行子宫肌瘤剔除术患者的临床资料。通过B超检查患者术前肌瘤个数、最大肌瘤直径、最大肌瘤位置等情况。术后随访6~36个月,统计术后复发率,并分析复发的危险因素。结果160例患者出现33例复发,复发率为20.62%。复发组中年龄>40岁、术前肌瘤多发、最大肌瘤直径≥5 cm的患者占比明显高于未复发组(P<0.05)。多因素Logistic回归分析显示,年龄、术前肌瘤个数、最大肌瘤直径是腹腔镜下子宫肌瘤剔除术患者术后复发的独立危险因素(P<0.05)。结论年龄、术前肌瘤个数、最大肌瘤直径是腹腔镜下子宫肌瘤剔除术患者术后复发的独立危险因素。

Objective To analyze the recurrence and related risk factors of patients after unterine myomectomy.Methods The clinical data of 160 patients with uterine myomectomy in our hospital from February 2018 to March 2019 were retrospectively analyzed.The number of preoperative fibroids,the maximum fibroids diameter and the location of the largest fibroid were examined by B-ultrasound.The postoperative follow-up for 6 to 36 months,the postoperative recurrence rate was counted,and the risk factors for the recurrence were analyzed.Results There were 33 cases recurrences in 160 patients,and the recurrence rate was 20.63%.The proportion of patients with age>40 years,multiple fibroids before operation,and the maximum diameter of fibroid≥5 cm in the recurrence group were significantly larger than those in the non-recurrence group(P<0.05).Multivariate Logistic regression analysis showed that age,number of preoperative fibroids,and the maximum diameter of fibroids were the independent risk factors of recurrence after laparoscopic uterine myomectomy(P<0.05).Conclusion Age,number of preoperative fibroids,and maximum fibroids diameter are independent risk factors for postoperative recurrence of patients undergoing laparoscopic uterine myomectomy.