子宫肌瘤剔除术后残留复发的相关影响因素分析

Analysis of Influencing Factors Associated with Residual Recurrence after Uterine Fibroid Removal Surgery

目的研究分析子宫肌瘤剔除术后残留复发的原因,为后续临床干预提供参考。方法选取2019年8月—2023年7月期间于四会市人民医院接受子宫肌瘤剔除术的71例患者作为研究对象,根据是否术后出现残留分为复发组(n=15)以及未复发组(n=56),采用单因素和多因素Logistic回归分析相关残留复发的因素。结果单因素结果分析显示两组年龄、肌瘤直径、肌瘤数目、初潮年龄以及肌瘤位置比较,差异有统计学意义(P<0.05)。多因素Logistic回归结果分析显示,术后残留复发的独立危险因素为年龄、肌瘤直径、肌瘤数量、初潮年龄以及肌瘤位置(OR=5.169、3.106、3.020、3.800、3.625,P<0.05)。结论肌瘤出现年龄<40岁、肌瘤体积大、肌瘤数量多以及患者初潮时间过早是子宫肌瘤剔除术后残留复发独立危险因素,临床治疗需要做好随访工作,最大程度降低复发率。

Objective To study and analyze the causes of residual recurrence after uterine fibroid excision,and to provide reference for subsequent clinical intervention.Methods A total of 71 patients who received hysteromyomectomy in Sihui People's Hospital from August 2019 to July 2023 were selected as the study objects,and were divided into recurrence group(n=15)and non-recurrence group(n=56)according to whether postoperative residue occurred.The factors related to residual recurrence were analyzed by univariate and multivariate Logistic regression.Results Univariate analysis showed that there were statistically significant differences in age,diameter of fibroids,number of fibroids,age of menarche and location of fibroids between two groups(P<0.05).Multivariate Logistic regression analysis showed that the independent risk factors for postoperative residual recurrence were age,diameter of fibroids,number of fibroids,age of menarche and location of fibroids(OR=5.169,3.106,3.020,3.800,3.625,P<0.05).Conclusion Under 40 years old of fibroid appearance,large size of fibroid,large number of fibroids and early menarche of patients are independent risk factors for residual recurrence after uterine fibroid removal surgery,and clinical treatment needs to do a good job of follow-up to minimize the recurrence rate.