分析子宫腺肌病患者临床病理特点和手术指征

Analysis of clinicopathological features and surgical indications in patients with adenomyosis

目的探究子宫腺肌病患者的临床病理特点和手术指征。方法回顾性选取210例经病理诊断为子宫腺肌病且经手术治疗患者的临床资料,其中78例接受腹腔镜手术,132例接受开腹手术。统计开腹手术组与腹腔镜组一般资料并进行单因素分析,通过多因素分析筛选危险因素。结果本研究单因素及多因素分析显示,子宫偏大、月经量多且处于绝经前的患者易合并卵巢子宫内膜异位囊肿;年龄偏大、痛经严重且产次较多的患者易合并子宫内膜息肉;较年轻、子宫体积较大且绝经前的患者易合并子宫肌瘤,差异具有统计学意义(P<0.05)。结论子宫腺肌病患者多合并其他病症,且造成合并症的危险因素众多,临床中针对患者不同症状应给予不同手术方式。

Objective To investigate the clinicopathological features and surgical indications of patients with adenomyosis.Methods The clinical data of 212 patients with adenomyosis diagnosed pathologically and treated surgically were retrospectively selected.Among them,78 patients underwent laparoscopic surgery,132 patients underwent laparotomy.The general data of laparotomy group and laparoscopy group were analyzed by single factor analysis,and the risk factors were screened by multi factor analysis.Results Univariate and multivariate analysis showed that patients with large uterus,large menstruation and premenopausal women were prone to ovarian endometriosis cyst;the patients with older age,severe dysmenorrhea and more labor times were prone to endometrial polyps;the younger,larger uterus and premenopausal patients were more likely to have uterine leiomyoma,and the difference was statistically significant(P<0.05).Conclusion Patients with adenomyosis are often combined with other diseases,and there are many risk factors for complications.In clinical practice,different surgical methods should be given to patients with different symptoms.