目的 探讨子宫内膜异位症术后复发的影响因素。方法 选取2010年1月-2012年3月该院收治的子宫内膜异位症患者117例为研究对象,纳入并分析影响其病变复发的相关因素。结果 子宫内膜异位症患者的发病年龄、手术方式、r AFS分期、临床病理类型与其术后复发密切相关,是子宫内膜异位症术后复发的独立影响因素(P〈0.05),而初潮年龄、巧克力囊肿部位、痛经、术后GnRH治疗与术后复发无相关性(P〉0.05)。结论 在临床诊治过程中,综合考虑患者的发病年龄、手术方式、r AFS分期、临床病理类型等参与子宫内膜异位症复发的关键因素,拟定个体化治疗方案可以有效提高治愈效果、降低术后复发率。
Objective To explore the influencing factors of recurrenee of endometriosis after surgery. Methods A total of 117 patients with endometriosis treated in the hospital from January 2010 to March 2012 were selected, the related iufluencing factors of recurrence were ineluded and analyzed. Results Age of onset, surgical methods, rAFS staging, and clinicopathologieal types were closely correlated with recurrence of endometriosis after surgeu, which were independent influencing factors of recurrence of endometriosis after surgery (P〈 0. 05 ) ; age of menarehe, location of chocolate cyst, dysmenorrhea, and postoperative gonadotropin releasing hormone (CnRH) therapy were not correlated with recurrence of endometrlosis after surgery ( P〉0.05 ) . Conclusion Age of onset, surgical methods, rAFS staging, and clinicopathologieal types are key factors of recurrence of endometriosis after surgery in the course of diagnosis and treatment, so individual therapeutic schedule should be drawn up to effeetively improve curative effect and reduce the recurrence rate of endometriosis after surgery.