新医学Issue(5)：316-319,4.DOI:10.3969/g.issn.0253-9802.2015.05.010
子宫肌瘤剔除术后残留及复发危险因素分析
Analysis of the risk factors for postoperative residue and recurrence in patients with leiomyoma
旷文佳 1陈爱月 2董晨 1刘俊2
作者信息
- 1. 518112 深圳，深圳市龙岗区第二人民医院妇产科
- 2. 510700 广州，中山大学附属第一医院东院
- 折叠
摘要
Abstract
Objective To discuss the risk factors for postoperative residue and recurrence in pa-tients with leiomyoma.Methods Clinical data including demographic information,leiomyoma characteristics, surgical approach,postoperative residue and recurrence were recorded from 408 women undergoing laparoscopic (LM)or transabdominal myomectomy (TAM)and regular follow-up.The risk factors for postoperative residue of leiomyoma were assessed by logistic regression analysis,and those for postoperative recurrence were evalua-ted by Cox regression analysis.Results There were no statistical differences in rates of postoperative residual and cumulative recurrence between LMand TAM(P >0.05).The number of leiomyoma was a risk factor for postoperative residue and recurrence of leiomyoma.The rate of postoperative residue was increased by 0.215 times (OR =1.215,95%CI:1.145 ~1.278,P =0.023)and that of postoperative recurrence was elevated by 0.189 times (OR =1.189,95%CI:1.065 ~1.246,P =0.034)when the number of leiomyoma was in-creased by one.The type of leiomyoma (intramural leiomyoma)(RR =4.654,95%CI:3.865 ~5.984,P =0.026)and age (≥35 years)(RR =2.976,95%CI:2.213 ~4.509,P =0.013)were risk factors for post-operative recurrence of leiomyoma.Conclusions Both LMand TAMare safe and effective surgical approaches for retaining the uterus of patients with leiomyoma.LMwould not increase the rates of postoperative residue or recurrence.The number of leiomyoma is the main risk factor for postoperative residue.The number and type of leiomyoma and patients’age serve as major risk factors for postoperative recurrence.关键词
子宫肌瘤/肌瘤剔除术/残留/复发Key words
Uterine myoma/Myomectomy/Residue/Recurrence引用本文复制引用
旷文佳,陈爱月,董晨,刘俊..子宫肌瘤剔除术后残留及复发危险因素分析[J].新医学,2015,(5):316-319,4.
