[1]董立娜*,贾桂芝.子宫内膜异位症患者术后复发的影响因素分析[J].中国计划生育和妇产科,2018,(6):38-41.
 DONG Li-na*,JIA Gui-zhi.Correlative factors analysis of recurrence of endometriosis after surgical treatment[J].Chinese Journal of Family Planning & Gynecotokology,2018,(6):38-41.
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子宫内膜异位症患者术后复发的影响因素分析
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2018年6期
页码:
38-41
栏目:
论著与临床
出版日期:
2018-06-25

文章信息/Info

Title:
Correlative factors analysis of recurrence of endometriosis after surgical treatment
作者:
董立娜*贾桂芝
德州市中医院妇产科
Author(s):
DONG Li-na*JIA Gui-zhi
Department of Obstetrics and Gynecology,Dezhou Hospital of Traditional Chinese Medicine,Dezhou Shandong 253013,P.R.China
关键词:
子宫内膜异位症复发因素妇科外科手术治疗
Keywords:
endometriosisrecurrencefactorsgynecologic surgical procedurestreatment
分类号:
R 711.71
摘要:
目的探讨子宫内膜异位症(endometriosis,EM)患者术后复发的影响因素。方法回顾性分析2011年1月至2013年2月在德州市中医院门诊及住院确诊的139例EM患者的临床资料,通过随访观察139例EM患者术后情况,分析EM患者术后复发的影响因素。结果首次就诊的139例EM患者,在3年的随访中22例患者失访,剩下117例患者中第1年复发16例(1368 %),2年复发25例(2137 %),3年复发36例(3077 %)。对可能影响EM复发的因素进行单因素Logistic分析,筛选出14个可能与EM复发有关因素(P<005);进一步行多因素Logistic回归分析显示,合并子宫腺肌病、既往有EM手术史、后穹窿有触痛结节、术后美国生育学会评分高是危险因素,而年龄大、术后妊娠及术后用药是保护因素。结论EM术后极易复发,其影响因素众多,术后要注意密切关注可能影响患者复发的危险因素,同时也需要关注影响复发的保护因素,从而降低EM术后复发率。
Abstract:
ObjectiveTo explore the possible correlative factors of recurrence of endometriosis(EM) after surgical treatment. MethodsThe the clinical data of 139 EM patients in Dezhou Hospital of Traditional Chinese Medicine were retrospectively analyzed.The correlative factors of recurrence of EM after surgical treatment were analyzed. ResultsWithin 3 years’ follow up,22 patients lost visit.Within the remaining 117 patients,16 patients(1368 %) had recurrence during the first year, 25 patients(2137 %) had recurrence during two years’ follow up, and 36 patients(3077 %) had recurrence during three years’ follow up. Univariate analysis filtered out 14 related factors. Multivariate logistic regression analysis showed that combined adenomyosis,history of EM surgery,high post-operative r-AFS scores and nodules with tenderness at cul-de-sac were independent risk factors affected EM recurrence. The elder age,postoperative medication and postoperative pregnancy were the protective factors. ConclusionBecause of the propensity to recur of the EM disease,we should pay attention to the factors related with EM recurrence in order to decrease the recurrence rate of EM.

参考文献/References:

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更新日期/Last Update: 2018-06-25