肖霞 陈丽 唐玮 王娟

[摘要] 目的 研究子宫肌瘤剔除术后复发影响因素。 方法 回顾性分析该院2015年7月—2016年7月期间187例子宫肌瘤剔除术后患者作为研究对象，对所有研究对象一般资料进行收集，对比复发与未复发对象一般资料差异情况，将有差异项带入Logistic回归方程，对其展开计算，分析复发影响因素。 结果 在187例子宫肌瘤剔除术中，术后共有16例患者复发，占8.56%。在肌瘤大小、肌瘤位置、子宫大小、肌瘤个数、医师手术经验、年龄上，复发与未复发对象相比差异有统计学意义（χ2=4.211、7.039、19.120、12.710、27.786、9.083，P<0.05）。将上述因素带入Logistic回归方程计算发现，上诉情况均是子宫肌瘤剔除术后复发影响因素。结论 子宫肌瘤剔除术后患者易受到多种因素影响引起复发，为减少复发率，应根据上述影响因素采取针对性预防措施，减少患者复发产生。

[关键词] 子宫肌瘤；子宫肌瘤剔除术；术后复发；影响因素

[中图分类号] R737 [文献标识码] A [文章编号] 1674-0742（2018）02（b）-0119-03

[Abstract] Objective This paper tries to study the factors influencing the recurrence of uterine leiomyoma after resection. Methods A total of 187 patients with uterine myomectomy were analyzed retrospectively from July 2015 to July 2016. All information of the subjects were collected and the general data of those who had recurrence and those without recurrence was compared. All differences were included in the Logistic regression equation and were calculated so as to analyze the factors of recurrence. Results In 187 cases of uterine myomectomy， 16 patients had postoperative recurrence （8.56%）. There were significant differences between those with recurrence and those without recurrence in the aspects of fibroid size， fibroid location， uterine size， number of fibroids， physician experience， and age （χ2=4.211， 7.039， 19.120， 12.710， 27.786， 9.083， P<0.05）. The above factors were taken into the logistic regression equation and it was found that all factors above affected the recurrence of uterine leiomyoma after resection. Conclusion Patients with uterine leiomyoma after removal are susceptible to relapse caused by a variety of factors. In order to reduce the recurrence rate of patients， targeted preventive measures should be taken based on the above factors.

[Key words] Uterine fibroids； Uterine fibroidectomy； Postoperative recurrence； Influencing factors

子宫肌瘤是临床中较为常见肿瘤，30～50岁女性最易发生此病。临床治疗子宫肌瘤方法主要以手术及药物治疗为主。目前，我國治疗子宫肌瘤常用手术方法为子宫切除术及子宫肌瘤剔除术。随着科学不断发展，医疗技术不断进步，加上人们生活水平日益提高，越来越多子宫肌瘤患者为保留子宫而进行子宫肌瘤剔除术[1]。虽然子宫肌瘤剔除术能够保留子宫，患者术后具有生育能力，但可能导致子宫肌瘤清除不彻底，残留肌瘤之后会重新生长，具有较高复发率[2]，为此，该次探讨该院2015年7月—2016年7月期间187例子宫肌瘤剔除术后患者复发相关危险因素，对该院子宫肌瘤剔除术后患者进行研究，探讨引起复发影响因素，进一步为手术改善方法提供理论依据，现报道如下。

1 资料与方法

1.1 一般资料

研究对象为方便选取该院收治的187例子宫肌瘤剔除术后患者，年龄31～64岁，平均（51.46±5.57）岁。……