子宫肌瘤复发的相关因素分析

目的:探讨子宫肌瘤剔除术后复发的相关因素,为临床降低复发率提供科学依据和有效途径.方法:收集2002年1月至2010年12月北京市怀柔区第一医院妇科门诊收治的445例子宫肌瘤剔除术患者的临床资料及子宫肌瘤术后复发随访情况,对相关因素进行单因素和多因素logistic分析.结果:随访的445例患者复发94例,复发率为21.12％,复发距手术时间6～96个月,平均(38.5±12.8)个月.年龄、BMI、肌瘤数目、肌瘤大小、肌瘤部位、既往分娩史、术后用药与肌瘤复发显著相关,其中年龄、BMI、肌瘤数目是子宫肌瘤复发的独立危险因素,术后妊娠是子宫肌瘤复发的保护因素.结论:年龄、BMI、肌瘤数目是子宫肌瘤复发的独立危险因素,术后妊娠是保护因素.

Relevant Factors Analysis of Recurrence of Uterine Fibroids

Objective: To investigate the relevant factors of myomectomy postoperative recurrence,to provide a scientific basis and an effective way to reduce the relapse rate for clinical.Methods: The clinical data of 445 cases of myomectomy patients from January 2002 to December 2010 treated in gynecology clinic of first hospital Huairou District of Beijing were selected,and follow-up the uterine fibroids recurrence situation,took the single factor analysis and multivariate logistic analysis to the relevant factors.Results: 445 patients were followed up,94 cases of recurrence,the recurrence rate was 21.12%,recurrence time from 6 to 68 months since the operative time,(38.5±12.8) months avereage.Age,BMI,the fibroids number,fibroids size,fibroids site,previous birth history,postoperative medication were significantly correlated with fibroids recurrence.The age,BMI,fibroids number were independent risk factor for of uterine fibroids recurrence,postoperative pregnancy was protective factors of uterine fibroids recurrence.Conclusion: Age,BMI,fibroids number are independent risk factors for recurrence of uterine fibroids,postoperative pregnancy is protective factors.