杨莉娟　章芸

【摘要】 目的：探讨巧克力囊肿剔除术后复发情况并分析相关危险因素，为临床预防术后疾病复发提供依据。方法：本次研究对象为2013年

3月-2018年3月笔者所在医院收治的60例卵巢巧克力囊肿剔除术患者，术后随访1年，统计巧克力囊肿复发情况，并分析相关危险因素。结果：随访1年，巧克力囊肿复发17例，复发率为28.33%。年龄≤35岁患者的复发率高于年龄>35岁患者，性生活频繁患者的复发率高于性生活不频繁患者，术后未辅助用药患者的复发率高于术后辅助用药患者，差异均有统计学意义（P<0.05）。Logistic回归分析显示，年龄、性生活频繁、术后未辅助用药是巧克力囊肿剔除术后复发的独立危险因素，差异均有统计学意义（P<0.05）。结论：巧克力剔除术后患者有复发的可能，且年龄≤35岁、性生活频繁、术后未辅助用药患者的疾病复发率较高。

【关键词】 巧克力囊肿剔除术 复发 危险因素

doi：10.14033/j.cnki.cfmr.2020.18.060 文献标识码 B 文章编号 1674-6805（2020）18-0-03

Analysis of Recurrence and Related Risk Factors after Chocolate Cyst Removal/YANG Lijuan， ZHANG Yun. //Chinese and Foreign Medical Research， 2020， 18（18）： -142

[Abstract] Objective： To investigate the recurrence of chocolate cyst removal， and analyze the related risk factors， so as to provide evidence for clinical prevention of postoperative disease recurrence. Method： The subjects of this study were 60 cases with ovarian chocolate cyst removal admitted to our hospital from March 2013 to March 2018. The patients were followed up for one year after operation， and the recurrence of chocolate cyst was counted and the related risk factors were analyzed. Result： Followed up for one year， 17 cases had recurrence of chocolate cyst， the recurrence rate was 28.33%. The recurrence rate of patients with age≤35 years old was higher than that of patients with age>35 years old， and the recurrence rate of patients with frequent sexual life was higher than that of patients with infrequent sexual life， and the recurrence rate of patients without adjuvant medication after operation was higher than that of patients with adjuvant medication after operation， and the differences were statistically significant （P<0.05）. Logistic regression analysis showed that age， frequent sexual life and without adjuvant medication after operation were independent risk factors for postoperative recurrence of chocolate cyst removal， and the differences were statistically significant （P<0.05）. Conclusion： There is a possibility of recurrence in the patients with chocolate cyst removal， and the recurrence rate is higher in patients with age≤35 years old， frequent sexual life and without adjuvant medication after operation.

[Key words] Chocolate cyst removal Recurrence Risk factors

First-authors address： Qiaotou Hospital of Dongguan， Dongguan 523520， China

当月经期脱落的子宫内膜碎片随经血逆流经输卵管进入盆腔并种植于卵巢表面或盆腔其他位置时，可形成异位囊肿。受性激素的影响，异位的子宫内膜会随月经周期反复脱落出血，若子宫内膜碎片位于卵巢，会造成卵巢增大并伴經期局部出血情况，形成犹如巧克力伴陈旧性褐色、黏稠似糊状积血的囊肿，称为巧克力囊肿[1]。本病发生恶性病变的可能性较大，随着病灶的逐渐增大，周围正常组织不断被侵蚀，给卵巢造成不可逆转的损害[2]。针对巧克力囊肿患者，临床多使用囊肿剔除术治疗。由于多数患者均有保留生育功能的要求，因此在术中只对卵巢囊肿进行剥离，未针对病因进行治疗，导致术后复发率较高。本次研究选取2013年3月-2018年3月笔者所在医院收治的60例巧克力囊肿剔除术患者为观察对象，于术后进行随访，探讨术后复发情况和相关危险因素，为降低疾病复发率提供有效指导。