论文部分内容阅读
目的探讨子宫肌瘤剔除术后复发的危险因素,为临床降低术后复发提供依据。方法采用病例对照研究的方法,收集189例符合条件的手术子宫肌瘤患者进行跟踪随访,调查复发情况及相关危险因素。结果随访的189例子宫肌瘤患者中,术后复发率为28.6%;术后肌瘤复发的因素包括体重指数(BMI)(OR=2.401)、手术年龄(OR=0.625)、术前孕次(OR=0.591)、术前肌瘤数量(OR=3.480)、子宫大小(OR=1.923)。结论针对这些因素,术前应严格选择手术适应证,有复发危险因素的应综合考虑制定治疗方案。
Objective To investigate the risk factors of recurrence after myomectomy and provide evidence for reducing postoperative recurrence. Methods A case-control study was conducted to collect 189 cases of patients with surgical myoma of uterine fibroids for follow-up and investigation of recurrence and related risk factors. Results Among the 189 patients with uterine fibroids, the recurrence rate was 28.6%. The recurrence of fibroids included body mass index (BMI) (OR = 2.401), operative age (OR = 0.625), preoperative gestational age (OR = 0.591), preoperative fibroids (OR = 3.480) and uterine size (OR = 1.923). Conclusion For these factors, surgical indications should be strictly selected before surgery, recurrence risk factors should be considered in the development of treatment options.