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目的对子宫肌瘤患者行剔除术后的复发情况和相关危险因素进行临床分析。方法回顾性分析濮阳市红十字医院在2013年3月-2015年7月收治的80例子宫肌瘤剔除术患者的临床资料,对影响其复发的危险因素进行分析。结果回顾分析80例患者临床资料(均随访1年),发现复发患者19例,术后复发率为23.75%;患者年龄>40岁的复发率为31.48%,≤40岁的复发率为7.69%。患者在术前进行B超检查肿瘤个数>2和≤2的复发率分别为36.36%和8.33%;患者在手术时发现多发肿瘤、单发性肿瘤的复发率为36.96%、5.88%,差异有统计学意义(P﹤0.05)。肿瘤直径>10 cm、≤10cm的复发率为26.92%、17.86%。患者中有妊娠史的复发率为21.31%,无妊娠史的复发率为31.58%,差异无统计学意义(P>0.05)。结论子宫肌瘤患者进行手术时的年龄、术前检查肌瘤个数、术中发现肌瘤个数是影响复发率的重要危险因素,在手术前使用药物对患者的危险因素进行控制,可以降低复发率,获得较好的治疗效果。
Objective To analyze the recurrence and related risk factors of patients with uterine fibroids after culling. Methods The clinical data of 80 myomectomy patients who were treated in Puyang Red Cross Hospital from March 2013 to July 2015 were analyzed retrospectively. The risk factors influencing recurrence were analyzed. Results The clinical data of 80 patients (all followed up for 1 year) were retrospectively analyzed. Twenty-nine patients were found to have recurrent disease, the recurrence rate was 23.75%. The recurrence rate was 31.48% in patients 40 years old and 7.69% . The patients were diagnosed by B ultrasound before operation. The recurrence rates of tumors> 2 and ≤2 were 36.36% and 8.33% respectively. The patients had multiple tumors during operation, the recurrence rates of single tumors were 36.96% and 5.88%, respectively There was statistical significance (P <0.05). Tumor diameter> 10 cm, ≤ 10cm recurrence rate was 26.92%, 17.86%. The recurrence rate of patients with pregnancy history was 21.31%, pregnancy-free history of recurrence rate was 31.58%, the difference was not statistically significant (P> 0.05). Conclusions The age of the patients with uterine fibroids, the number of fibroids detected preoperatively, the number of fibroids found during operation are important risk factors influencing the recurrence rate. Using drugs to control the risk factors of patients before surgery can reduce Recurrence rate, access to better treatment.