子宫内膜异位症患者术后复发的相关影响因素调查分析  

Relevant factors influencing recurrence of endometriosis patients after operation

作　　者：权丽丽[1] 曲丽霞[1] QUAN Li-li;QU Li-xia(Department of Gynaecology,Central Hospital of Sanmenxia City,Sanmenxia,Henan 472000,China)

机构地区：[1]三门峡市中心医院妇科,河南三门峡472000

出　　处：《实用预防医学》2020年第5期566-568,共3页Practical Preventive Medicine

基　　金：三门峡市科技发展计划项目(2016030311)。

摘　　要：目的探讨子宫内膜异位症(endometriosis,EM)患者术后复发的相关危险因素,为早期预防复发提供依据。方法选取348例EM手术患者进行2年的随访调查,依据是否发生EM复发分为复发组和未复发组;比较两组患者的可能影响因素分布,筛选EM术后复发的相关影响因素。结果EM患者术后2年内的复发率为16.7%(58/348);经单因素χ^2检验和多因素logistic回归分析显示,痛经史(OR=3.080)、既往宫腔操作史(OR=4.183)、后穹窿有触痛结节(OR=3.557)、手术分期(OR=2.096)、术后未用药物(OR=4.518)、术后未妊娠(OR=1.931)等因素为EM术后复发的危险因素。结论影响其EM复发的危险因素包括痛经史、既往宫腔操作史、后穹窿有触痛结节、高手术分期、术后无药物治疗、术后未妊娠等,应采取早期预防措施,降低EM术后复发率。Objective To explore the risk factors related to recurrence of endometriosis(EM)patients after operation so as to provide a basis for early prevention of EM relapse.Methods A 2-year follow-up survey was conducted in 348 EM patients with operation.According to the patients with or without EM recurrence,they were divided into the relapse group and the non-relapse group.The distribution of possible influencing factors was compared between the two groups,and influencing factors related to EM relapse after operation were screened.Results The rate of EM relapse in two years after operation was 16.7%(58/348).Single factorχ^2 test and multiple factor logistic regression analysis showed that the risk factors for EM relapse after operation were having a history of dysmenorrhea(OR=3.080),having a history of previous uterine cavity operation(OR=4.183),pain nodule in posterior fornix of vagina(OR=3.557),surgical staging(OR=2.096),without medication after operation(OR=4.518)and non-pregnancy after operation(OR=1.931).Conclusions The risk factors affecting EM relapse in the patients include having a history of dysmenorrhea,having a history of previous uterine cavity operation,pain nodule in posterior fornix of vagina,surgical staging of high-grade EM,without postoperative medication and non-pregnancy after operation.It is necessary to adopt early prevention measures so as to decline the postoperative relapse rate of EM.

关 键 词：子宫内膜异位症 手术 复发 影响因素 

分 类 号：R711.71[医药卫生—妇产科学]