腹腔镜下子宫肌瘤剔除术后残留的高危因素分析

The Analysis of High Risk Factors of Residual after Laparoscopic Myomectomy

目的:探究子宫肌瘤剔除术后残留的高危因素,以期为临床上绝经期子宫肌瘤患者的治疗提供思路和理论依据。方法:本研究选择收入我院妇科的54例符合条件的子宫肌瘤患者为研究对象,所有入组的子宫肌瘤患者均选择子宫肌瘤剔除术,根据是否有残留将患者分成残留组和非残留组。收集入组者的基准资料,包括年龄、体重指数、病理类型。利用逻辑回归分析(Logistic回归分析)进行单因素和多因素分析。结果:入组的54例绝经期子宫肌瘤剔除术患者中,有18例子宫肌瘤患者出现术后残留,肌瘤术后残留率为33.33%。单因素分析结果显示,超重,子宫肌瘤数目 ≥ 5个,最大肌瘤直径,富于细胞型子宫肌瘤是绝经期子宫肌瘤手术剔除术后残留的高危因素(P < 0.05)。Logistic多因素分析结果显示,超重,子宫肌瘤数目 ≥ 5,病理类型是绝经期子宫肌瘤手术剔除术后残留的高危因素(P < 0.05)。结论:超重,子宫肌瘤数目 ≥ 5,富于细胞型病理类型是绝经期子宫肌瘤手术剔除术后残留的高危因素(P < 0.05)。

Objective: To explore the high-risk factors of residual uterine fibroids after myomectomy, in order to provide ideas and theoretical basis for the clinical treatment of menopausal uterine fibroids. Methods: The 54 eligible patients with hysteromyoma admitted to the Department of Gynecology of our hospital were selected as the research object. All patients with hysteromyoma were selected for hysteromyomectomy. According to whether there was residual and recurrence, the patients were divided into residual group and non residual group. The baseline data of participants were collected, including age, body mass index and pathological type. Logistic regression analysis was used for univariate and multivariate analysis. Results: Among the 54 patients with menopausal myomectomy, 18 patients with hysteromyoma had postoperative residual, and the residual rate of hysteromyoma was 33.33%. The results of univariate analysis showed that overweight, the number of hysteromyomas ≥ 5, the maximum diameter of hysteromyomas and cellular hysteromyomas were the high-risk factors for residual hysteromyomas after surgical removal of menopausal hysteromyomas (P < 0.05). Logistic multivariate analysis showed that overweight, the number of hysteromyomas ≥ 5 and pathological type were the high-risk factors of residual hysteromyoma after surgical removal of menopausal hysteromyomas (P < 0.05). Conclusion: The overweight, the number of hysteromyomas ≥ 5 and cellular pathological type are the high-risk factors of residual hysteromyoma after surgical resection in menopause (P < 0.05).