CAJ | 학술논문

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。
목적：분석자궁기류척제술후복발정황，탐토자궁기류척제술후복발적상관인소，위림상치료제공과학의거。방법수집2007년1월지2012년8월재엄서횡현인민의원행자궁기류척제술후정기수방적211례환자자료，복발상관영향인소진행다인소Logistic회귀분석。결과211례환자복발43례，복발솔위20.38%（기중단발기류17례，복발솔위13.49%；다발기류26례，복발솔위30.59%）。장16개인소선진행단인소분석，연후진행비조건Logistic다인소통계。최종Logistic회귀모형현시자궁대소、기류수목화수방시간위자궁기류술후복발적독립위험인소。결론자궁기류척제술술후복발적위험인소안조관련성대소배서의차위기류개수、자궁대소급수방시간。
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 .