子宫肌瘤剔除术后残留复发的现状及其相关影响因素分析  

Analysis of the status quo and risk factors of residual recurrence after hysteromyomectomy

作　　者：白银 李冰[1] 杨际新[1] 王茜 李雪梅 BAI Yin;LI Bing;YANG Jixin;WANG Qian;LI Xuemei(Department of Obstetrics and Gynecology,Anshan Central Hospital,Anshan,Liaoning,114000,China)

机构地区：[1]鞍山市中心医院妇产科,辽宁鞍山114000

出　　处：《当代医学》2023年第23期129-131,共3页Contemporary Medicine

摘　　要：目的分析子宫肌瘤剔除术后残留复发的现状及其相关影响因素。方法选取2019年1月至2020年12月本院收治的拟行子宫肌瘤剔除术的326例子宫肌瘤患者作为研究对象,收集所有患者的年龄、体重指数(BMI)、家族史、子宫肌瘤数目、子宫肌瘤最大径、子宫肌瘤位置、手术方式、术后药物治疗等临床资料,并按照子宫肌瘤剔除术后患者是否残留复发将患者分为复发患者与未复发患者,采用多因素Logistic回归分析法分析子宫肌瘤剔除术后残留复发的危险因素。结果326例子宫肌瘤剔除术后患者中,残留复发子宫肌瘤46例,未复发患者280例。单因素分析结果显示,复发患者年龄小于未复发患者,体重指数(BMI)大于未复发患者(P<0.05);复发患者有家族史、子宫肌瘤数目≥2个、子宫肌瘤最大径≥4 mm、子宫肌瘤位于肌壁间、术后无药物治疗占比高于未复发患者(P<0.05)。多因素Logistic回归分析结果显示,低龄、BMI高、子宫肌瘤数目≥2个、子宫肌瘤最大径≥4 mm、子宫肌瘤位于肌壁间、术后无药物治疗是子宫肌瘤剔除术后残留复发的独立危险因素(OR=1.912、1.791、2.113、1.895、2.004、1.912,P<0.05)。结论低龄、BMI高、子宫肌瘤数目≥2个、子宫肌瘤最大径≥4 mm、子宫肌瘤位于肌壁间、术后无药物治疗是子宫肌瘤剔除术后残留复发的独立危险因素。Objective To analyze the status quoand risk factors of residual recurrence after hysteromyomectomy.Methods A total of 326 patients with uterine fibroids who were admitted to our hospital from January 2019 to December 2010 to undergo hysteromyectomy were selected as the research subjects,clinical data of all patients,including age,body mass index(BMI),family history,number of uterine fibroids,maximum diameter of uterine fibroids,location of uterine fibroids,operation method,and postoperative drug therapy were collected.The patients were divided into recurrence patients and non-recurrence patients according to whether the patients had residual recurrence after hysteromyomectomy,and the risk factors of residual recurrence after hysteromyomectomy were analyzed by multivariate Logistic regression analysis.Results Among 326 patients with hysteromyectomy,46 cases were recurrence,280 cases were no recurrence.Univariate analysis showed that the age of recurrence patients were small-er than that of non recurrence patients,and the body mass index(BMI)were larger than that of non recurrence patients,the proportion of recurrence patients with family history,number of uterine fibroids≥2,maximum diameter of uterine fibroids≥4 mm,uterine fibroids located in the muscle wall,and no postoperative drug treatment was higher than that of non recurrence patients(P<0.05).Multivariate Logistic regression analysis showed that young age,large BMI,the number of uterine fibroids≥2,the maximum diameter of uterine fibroids≥4 mm,the uterine fibroids located between the muscle walls,and no postoperative drug treatment were independent risk factors for residual recurrence after myomectomy(OR=1.912,1.791,2.113,1.895,2.004,1.912,P<0.05).Conclusion Young age,large BMI,the number of uterine fibroids≥2,the maximum diameter of uterine fibroids≥4 mm,the uterine fibroids located between the muscle walls,and no postoperative drug treatment were independent risk factors for residual recurrence after myomectomy.

关 键 词：子宫肌瘤 子宫肌瘤剔除术 残留复发 现状 危险因素 

分 类 号：R737.33[医药卫生—肿瘤]