摘要
目的 :探讨子宫肌瘤切除术后复发的危险因素。方法 :回顾性队列研究分析1996年 1月 1日至 2 0 0 0年 12月 31日行子宫肌瘤切除术且有随访资料的 5 8例患者。结果 :平均随访 13.9个月 ,复发 12例 ,复发率为 2 0 .6 9% ,复发时间距手术平均为 2 1.1个月。术前B超发现肌瘤个数 <2和≥ 2的患者复发率分别为 13.5 1%和 33.33% ;术中发现肌瘤单发和多发患者的复发率分别为 11.76 %和 33.33% ;子宫平滑肌瘤不伴和伴有红色变性的患者复发率分别为 16 .98%和 6 0 .0 0 % ;术后随访 <6个月和≥ 6个月的患者复发率分别为 6 .90 %和 34.4 8% ,其差异均有统计学意义 (P =0 .0 196 ,P =0 .0 0 17,P =0 .0 10 2 ,P =0 .0 10 )。而年龄、术前症状、术前及术后妊娠分娩史、子宫肌瘤家族史、最大肌瘤部位和直径、是否伴有其他变性以及富于细胞等临床特征和肌瘤特征与复发无明显相关性 (P >0 .0 5 )。结论 :术前B超发现肌瘤个数或术中发现肌瘤个数及随访时间、子宫平滑肌瘤伴红色变性与子宫肌瘤切除术后复发相关。
Objective:To analyze the risk factors of recurrence of uterine myoma after myomectomy.Methods: 58 cases underwent myomectomy form Jan 1,1996 to Dec 31,2000 were analyzed with retrospective cohort study. Results: 58 cases were followed up.The average time of follow-up was 13.9 months.12 cases (20.69%) were recurred.The average time of recurrence was 21.1 months postoperation.The recurrence rates of myoma number found by ultrasonography less than 2 and was or more than 2 were 13.51% and 33.33% respectively.The recurrence rates of solitary and mutiple myomas were 11.76% and 33.33% respectively.The recurrence rates of the cases with or without red degeneration were 16.89% and 60.00% respectively.The recurrence rates of patients who were followed up less than 6 months or longer than it were 6.90% and 34.48% respectively.All these results were significantly different (P=0.0196,P=0.0017,P=0.0102,P=0.010).Other clinical features and the characteristics of cases,such as age,symptoms,pregnancy and childbirth history,family history,the site and the diameter of the largest myoma,other degeneration or cellular leiomyoma did not affect the recurrence rate(P>0.05). Conclusions: The number of myomas found by ultrasonography or the number of myoma found during the operation and the time of followed up,leiomyoma red degeneration were related with the recurrence of myoma after myomectomy.
出处
《现代妇产科进展》
CSCD
2002年第2期101-103,共3页
Progress in Obstetrics and Gynecology
