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目的分析卵巢子宫内膜异位囊肿再次复发并手术的相关因素。方法回顾性分析了2011年12月-2014年4月期间因卵巢子宫内膜异位囊肿术后复发,在福建省妇幼保健院住院再次手术治疗的共65例患者,采用χ~2检验以及独立样本t检验方法,对复发病例年龄、复发部位、合并子宫腺肌病、术后生育及用药对复发影响及再次手术前用药等情况进行分析。结果复发年龄中30~40岁所占比例最高,原始病变部位不影响再次复发部位,但复发时左侧和双侧卵巢病变者占大多数。同时合并腺肌病患者平均年龄增加,CA125值增高更明显,第1次术后生育能延缓复发年限,术后服用药物一段时间没有延缓复发时间。复发手术前用药能缩短手术时间、减少术中出血。结论卵巢子宫内膜异位囊肿多于30~40岁复发,再发多见于左侧和双侧卵巢,随着年龄增大,复发者可同时合并子宫腺肌病,并伴随CA125明显增高,术后尽快生育能缓解病情,术后可考虑延长药物治疗时间,如果预计手术难度大,可考虑术前服药减少手术难度。
Objective To analyze the related factors of recurrence and operation of ovarian endometriosis cyst. Methods A total of 65 patients who underwent reoperation in hospital for maternal and child health care in Fujian Province from December 2011 to April 2014 were retrospectively analyzed. The results of Chi-square test and independent Sample t test, the recurrence of patients age, recurrence site, with adenomyosis, postoperative childbirth and medication on recurrence and re-operation before surgery and other analysis. Results Recurrence age in 30 to 40 years the highest proportion of the original lesion does not affect the recurrence site, but the recurrence of left and bilateral ovarian lesions accounted for the majority. At the same time, patients with adenomyosis mean age increased, CA125 value increased more significantly, the first postoperative fertility can delay the relapse period, after taking drugs for a period of time did not delay the recurrence time. Recurrent surgery before surgery can shorten the operation time and reduce intraoperative bleeding. Conclusions Ovarian endometriotic cyst is more than 30-40 years old, and recurrence is more common in the left and bilateral ovaries. As the age increases, the recurrence can be combined with adenomyosis, accompanied by a marked increase in CA125 Fertility can be alleviated as soon as possible after the disease may be considered to extend the treatment time after surgery, if the operation is expected to be difficult, preoperative medication can be considered to reduce the difficulty of surgery.