CAJ | 학술논문

目的探讨子宫肌瘤剔除手术后复发的相关危险因素.方法选择以2010年2月~2012年7月行子宫肌瘤剔除手术的95例患者为研究对象,进行定期检查及随访,并依据相关危险因素进行分组,运用统计学进行分析.结果子宫肌瘤剔除术后复发的3个相关危险性因素为:(1)肌瘤多少:本组多发肌瘤的复发率为29.27%,明显高于单发肌瘤的7.41%,差异有统计学意义(P<0.05).(2)肌瘤大小:本组直径≤5 cm肌瘤的复发率为28.95%,明显高于直径>5 cm肌瘤的8.77%,差异有统计学意义(P<0.05).(3)年龄:本组年龄≤40岁患者的复发率为25.49%,明显高于年龄>40岁患者的6.82%,差异有统计学意义(P<0.05).结论子宫肌瘤剔除术后复发的主要危险因素为肌瘤多少、肌瘤大小及患者年龄,多发子宫肌瘤、肌瘤直径≤5 cm且年龄≤40岁是子宫肌瘤剔除术后复发的高危因素,在临床上要特别关注这些高危因素,以便为预防术后复发提供依据.
목적탐토자궁기류척제수술후복발적상관위험인소.방법선택이2010년2월~2012년7월행자궁기류척제수술적95례환자위연구대상,진행정기검사급수방,병의거상관위험인소진행분조,운용통계학진행분석.결과자궁기류척제술후복발적3개상관위험성인소위:(1)기류다소:본조다발기류적복발솔위29.27%,명현고우단발기류적7.41%,차이유통계학의의(P<0.05).(2)기류대소:본조직경≤5 cm기류적복발솔위28.95%,명현고우직경>5 cm기류적8.77%,차이유통계학의의(P<0.05).(3)년령:본조년령≤40세환자적복발솔위25.49%,명현고우년령>40세환자적6.82%,차이유통계학의의(P<0.05).결론자궁기류척제술후복발적주요위험인소위기류다소、기류대소급환자년령,다발자궁기류、기류직경≤5 cm차년령≤40세시자궁기류척제술후복발적고위인소,재림상상요특별관주저사고위인소,이편위예방술후복발제공의거.
Objective Explore the risk factors associated with recurrence of uterine fibroids removed after surgery. Methods Group from February 2010 to July 2012, removed uterine fibroids in our hospital 95 cases of surgical patients, carry out regular inspections and follow-up, and according to the relevant risk factors, and the use of statistical analysis. Results Myomectomy recurrence of the three risk factors are:(1) fibroids more than the number of myoma recurrence rate of 29.27%was significantly greater than 7.41%of the single myoma, the difference was statistically significant (P<0.05). (2) leiomyoma size, the set of diameter≤5 cm fibroid recurrence rate of 28.95%was significantly greater than diameter>5 cm fibroids is 8.77%, the difference was statistically significant (P<0.05). age, the age group≤40 years of age in patients with recurrence rate of 25.49%was significantly greater than the age of>6.82%of the 40-year-old patients, the difference was statistically significant (P<0.05). Conclusion The major risk factors of myomectomy recurrence are:the number of myoma,the size of myoma and the age of patients.Uterine fibroids,multiple myoma diameter≤5 cm and age≤40 years old myomectomy recurrence of the risk factorsin clinical practice should pay special attention to these high-risk dangerous, in order to provide a reference for the prevention of postoperative recurrence.