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目的:探讨子宫肌瘤切除术后复发因素。方法:回顾性分析149例子宫肌瘤切除手术患者随访资料。结果:本组患者平均随访30.9个月,其中年龄<40岁患者子宫肌瘤切除术后复发率高于年龄≥40岁者(P<0.05);多发性子宫肌瘤患者复发率高于单发性子宫肌瘤(P<0.05);患者经腹腔镜手术者复发率高于经腹手术者(P<0.05),术后妊娠者复发率高于非妊娠者(P<0.05)。结论:子宫肌瘤切除术后复发与手术时年龄、肌瘤个数、手术方式及术后是否妊娠有一定关系。
Objective: To investigate the recurrence factors after myomectomy. Methods: The follow-up data of 149 patients undergoing myomectomy were retrospectively analyzed. Results: The average follow-up time was 30.9 months in this group of patients. The recurrence rate of uterine myoma after resection was higher than that of patients aged ≥ 40 years (P<0.05). The recurrence rate of multiple uterine fibroids was higher than that of single Uterine fibroids (P <0.05); The recurrence rate of patients undergoing laparoscopic surgery was higher than that of abdominal surgery (P <0.05). The recurrence rate of postoperative pregnancy was higher than that of non-pregnant women (P <0.05). Conclusion: The recurrence after uterine fibroid resection is related to the age, number of fibroids, surgical methods, and postoperative pregnancy.