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子宫肌瘤剔除术后复发的相关因素分析
Analysis of Related Factors of Recurrence of Uterine Myoma after Myomectomy
【摘要】 目的分析子宫肌瘤剔除术后复发情况,探讨子宫肌瘤剔除术后复发的相关因素,为临床治疗提供科学依据。方法收集2007年1月至2012年8月在广西横县人民医院行子宫肌瘤剔除术后定期随访的211例患者资料,复发相关影响因素进行多因素Logistic回归分析。结果 211例患者复发43例,复发率为20.38%(其中单发肌瘤17例,复发率为13.49%;多发肌瘤26例,复发率为30.59%)。将16个因素先进行单因素分析,然后进行非条件Logistic多因素统计。最终Logistic回归模型显示子宫大小、肌瘤数目和随访时间为子宫肌瘤术后复发的独立危险因素。结论子宫肌瘤剔除术术后复发的危险因素按照关联性大小排序依次为肌瘤个数、子宫大小及随访时间。
【Abstract】 Objective To investigate the related risk factors of recurrence of uterine myoma after myomectomy, provided a scientific basis for clinical treatment. Method A total of 211 cases of patients from Guangxi Hengxian people’s hospital were studied. The risk factors of uterine myoma after myomectomy were analyzed and screened by Logistic assay. Results 43 of 211 cases of patients were observed with recurrence, the myoma recurrence rate was 20.38%(Among them, the single myoma, 17 cases of recurrence rate was 13.49%, and 26 cases of multiple myoma recurrence rate was 30.59%). Logistic regression analysis showed that size of uterus, number of uterine fibroids and follow-up time were risk factors of recurrence of uterine myoma after myomectomy. Conclusion The number of myoma,size of uterus and follow-up time were risk factors of myoma recurrence. recurrence was given priority to Small fibroids and observation was the major treatments.
【Key words】 Uterine fibroids; Myomectomy; Recurrence; Risk factors; Logistic regression;
- 【文献出处】 中国医药指南 ,Guide of China Medicine , 编辑部邮箱 ,2014年10期
- 【分类号】R737.33
- 【被引频次】4
- 【下载频次】58