摘要
Abstract
Objective:To explore those factors of endometriosis (EMs) recurrence after conservative surgery. Methods:126 cases of EMs after conservative surgery from June 2008 to June 2012 were analyzed. They were divided into two groups:the non-recurrence group (89 cases) and the recurrent group (37 cases). Clinical data was Analyzed, those risk factors related to recurrence were evaluated. Results:In 126 cases, there were 19 cases with recurrence in the first year (15.08%), 14 cases with recurrence in the second year (11.11%) [totally, 33 cases (26.19%)], and 4 cases with recurrence in the third year (3.17%) after conservative surgery [total 37 cases (29.37%) in three years]. The number of recurrence cases increased with years after surgery (χ2=8.375, P=0.015). There is no significant difference in the previous surgical history between two groups (P<0.05). Those risk factors related to recurrence included the surgery history of conservative EMs surgery, pelvic diseases, postoperative r-AFS score, painful nodules in posterior vaginal fornix. Those protective factors included the time of pregnancy and treatment with mifepristone. Conclusions:Those risk factors and protective factors related to EMs recurrence after conservative surgery should be noticed, so as to predict prognosis and to guide clinical treatment.关键词
子宫内膜异位症/妇科外科手术/复发/保守性手术Key words
Endometriosis/Gynecologic surgical procedures/Recurrence/Conservative surgery
