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目的:分析子宫肌瘤挖除术后复发相关因素,为术后复发预防与疾病管理提供指导意见。方法:筛选2012年2月~2014年12月,医院进行的子宫肌瘤挖除术患者350例,门诊或电话随访诊断复发,将复发患者纳入复发组,未复发者纳入对照组。结果:复发率20.29%(71/350),复发组与对照组年龄<50岁、初潮年龄≤13岁、多发肌瘤、粘膜下肌瘤、家族病史、内分泌代谢疾病、术后辅助用药、经期≥7d比重差异具有统计学意义(P<0.05);年龄、肌瘤数目、初潮年龄、术后辅助用药成为独立影响因素(P<0.05)。结论:子宫肌瘤挖除术后复发影响因素较多,应关注初潮年龄较早、多发、年龄相对较小患者,就辅助用药,预防复发。
Objective: To analyze the related factors of recurrence after hysterectomy of uterine fibroids and provide guidance for prevention and management of postoperative recurrence and disease management. Methods: From February 2012 to December 2014, 350 patients with uterine fibroids removed from the hospital were diagnosed by outpatient or telephone follow-up. Patients with recurrence were recruited into the recurrence group and those without recurrence were included in the control group. Results: The recurrence rate was 20.29% (71/350). The recurrence group and control group were less than 50 years old, and the age of onset of menarche was less than 13 years old. Multiple fibroids, submucosal fibroids, family history, endocrine and metabolic diseases, postoperative adjuvant therapy, The difference of specific gravity for 7 days was statistically significant (P <0.05). Age, fibroid number, menarche age and postoperative adjuvant therapy were independent factors (P <0.05). Conclusion: The recurrence of uterine fibroids after the impact of many factors, should pay attention to the early menarche, multiple, relatively young patients, on the auxiliary medication to prevent recurrence.