Analysis of High Risk Factors of Residual Recurrence After Uterine Fibroid Resection
Objective To analyze the relevant risk factors of residual recurrence after uterine fibroids(UM)resection.Methods The clinical data of 92 patients underwent UM resection were retrospectively analyzed,the postoperative residual re-currence was counted,and the patient baseline data were collated.The risk factors affecting the residual recurrence after UM were analyzed by multivariate and univariate analysis.Results 18 patients in 92 patients,The residual recurrence rate was 19.57%(18/92);The univariate analysis revealed that,Age,number of fibroids,body mass index,postoperative medication,intermuscle wall myoma,and age at menarche were associated with residual recurrence in patients after UM resection,The difference was sta-tistically significant(P＜0.05);Multivariate analysis revealed that,Maximum fibroid diameter,surgical method,family history of UM,postoperative pregnancy,and preoperative pregnancy history were not associated with residual recurrence in patients after UM resection,There was no significant difference(P＞0.05);Logistic regression analysis showed that:age was 35 years old(β = 1.816,OR =6.145,95%CI =1.955～19.322),4 fibroids(β =2.622,OR =13.767,95%CI =3.955～47.925),body mass in-dex of 24 kg/m2(β =1.628,OR =5.096,95%CI =1.632～15.908),no postoperative drug treatment(β =2.895,OR =18.083,95%CI =5.071～64.492),wall myoma(β =1.981,OR =7.250,95%CI =2.353～22.342),age at menarche＜13 years(β = 1.378,OR =3.966,95%CI =1.355～11.608)is a high risk factor for residual recurrence in patients after UM resection(P＜0.05).Conclusion The patients after UM resection will have residual recurrence.The age,number of myomas,body mass in-dex,postoperative drug treatment,intramural myoma and menarche age of the patients are related risk factors that affect the residu-al recurrence after UM resection.For this,clinical attention should be paid to identifying high-risk patients with residual recur-rence,and corresponding prevention and control measures should be taken against the above risk factors to reduce the risk of re-sidual recurrence.
MyomectomyResidual recurrenceRisk factorsNumber of myomas
万方数据
维普
