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子宫肌瘤剔除术后肌瘤复发相关危险因素的分析 被引量:44

Risk factors of recurrence of uterine myoma after myomectomy
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摘要 目的:探讨子宫肌瘤剔除术后肌瘤复发的危险因素,为子宫肌瘤术后复发的预防和治疗提供参考。方法:对121例子宫肌瘤剔除术患者的临床资料进行回顾性分析,对肌瘤复发的相关危险因素进行Logistic回归分析,筛选肌瘤复发的相关危险因素。结果:肌瘤复发率为24.8%。单因素分析结果显示,手术年龄、术前检查肌瘤个数、术中发现肌瘤个数与肌瘤复发有关(P值分别为0.031 0、0.001 2和0.002 3)。多因素Lo-gistic回归法分析表明,手术年龄、术前B超检查肌瘤个数、术中检查发现肌瘤个数是术后肌瘤复发的危险因素(OR值分别为2.365 8、5.365 8和3.447 2,P值均<0.05)。结论:手术年龄、术前B超检查肌瘤个数、术中检查发现肌瘤个数是肌瘤复发的危险因素,对这些危险因素加以重点评估和合理控制,可以减少肌瘤复发。 OBJECTIVE: To investigate the risk factors of recurrence of uterine myoma after myomectomy, and provide reference for prevention and treatment of myoma recurrence. METHODS: A total of 121 cases of patients were studied. The risk factors of uterine myoma after myomectomy were analyzed and screened by Logistic assay. RESULTS: The myoma recurrence rate was 24. 8%. Ssingle-factor analysis showed that operative age, myoma number of preoperative examination and myoma number found during surgery were contact with myoma recurrence(P values were 0. 031 0, 0. 001 2 and 0. 002 3). Multivariate Logistic regression analysis showed that operative age, myoma number of preoperative examination, myoma number found during surgery were risk factors of recurrence of uterine myoma after myomectomy(OR were 2. 365 8,5. 365 8 and 3. 447 2,and all P〈0.05). CONCLUSIONS: The operative age, myoma number of preoperative examination, myoma number found during surgery were risk factors of myoma recurrence. Assessment and control of these risk factors can reduce the recurrence of uterine myoma after myomectomy.
作者 皮冰
出处 《中华肿瘤防治杂志》 CAS 2011年第6期457-459,共3页 Chinese Journal of Cancer Prevention and Treatment
关键词 子宫肌瘤/外科学 子宫肌瘤剔除术 复发 危险因素 uterine neoplasms/surgery myomectomy recurrence risk factors
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