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目的分析子宫肌瘤剔除术后妊娠结局及相关影响因素。方法选取2011年1月~2013年6月在该院妇科行子宫肌瘤剔除术的372例为研究对象,术后随访妊娠结局,分析影响术后妊娠的相关因素。结果随访1~3.5年,46例避孕中,183例患者术后首次妊娠,妊娠率56.1%。均无子宫切口处瘢痕妊娠及孕期或产时子宫破裂。单因素分析患者术后妊娠率与年龄、BMI、肌瘤数目、肌瘤类型及手术方式相关,差异有统计学意义(P<0.05)。多因素分析中,年龄、肌瘤数目是影响子宫肌瘤剔除术后妊娠率的独立危险因素,差异有统计学意义(P<0.05)。结论在指导子宫肌瘤剔除术后患者适时妊娠方面,应充分考虑患者的年龄和肌瘤数目因素,对保证手术效果,提高术后妊娠率具有临床指导意义。
Objective To analyze the outcome of pregnancy after uterine myomectomy and related factors. Methods From January 2011 to June 2013, 372 cases of uterine myomectomy in gynecological department of our hospital were selected as the research object. The pregnancy outcome was followed up and the related factors that influenced postoperative pregnancy were analyzed. Results 1 to 3.5 years follow-up, 46 cases of contraception, 183 patients after the first pregnancy, the pregnancy rate was 56.1%. No uterine incision scar pregnancy and uterine rupture during pregnancy or during labor. Univariate analysis of postoperative pregnancy rate and age, BMI, myoma number, fibroids type and surgical approach, the difference was statistically significant (P <0.05). In multivariate analysis, the age and myoma number were independent risk factors influencing the pregnancy rate after uterine fibroid culling, the difference was statistically significant (P <0.05). Conclusion In guiding the timely pregnancy of patients with uterine myomectomy, we should give full consideration to the age of patients and the number of fibroids, to ensure the operation effect and improve the rate of postoperative pregnancy has clinical significance.