复发子宫内膜异位症二次手术的临床特点

发布时间：2018-06-12 02:03

  本文选题：子宫内膜异位症 + 复发　； 参考：《现代妇产科进展》2017年02期

【摘要】：目的:探讨子宫内膜异位症(EMs)非根治术后复发并行二次手术患者的临床特点。方法:回顾分析2010年1月至2015年8月于浙江大学医学院附属妇产科医院行二次手术治疗的290例EMs复发患者的临床资料。结果:290例患者二次手术平均间隔为(5.96±3.38)年,初次手术年龄大、初次手术r-AFS分期越高的患者的两次手术间隔时间短(P0.05),初次手术为半根治手术或单侧卵巢切除、术后有生育史的患者的两次手术间隔时间长(P0.05)。有腺肌病史、初次手术r-AFS分期高的患者的复发分期明显高于无腺肌病史、初次手术r-AFS分期低者(P0.05)。4.0%接受术后短期辅助药物治疗(≤6月)的患者1年内接受二次手术,12.2%未接受药物治疗的患者在1年内接受二次手术。结论:EMs初次手术分期高、有腺肌病史是复发的危险因素,初次保守手术单侧卵巢切除或者子宫切除及术后生育是延长二次手术间隔的保护因素。术后短期辅助药物治疗(≤6月)对降低术后1年内二次手术率有意义,但对延长远期二次手术间隔无明显意义。
[Abstract]:Objective: to investigate the clinical features of patients with recurrent and secondary operations after non-radical resection of endometriosis. Methods: the clinical data of 290 patients with recurrent EMs were retrospectively analyzed from January 2010 to August 2015 in the Department of Obstetrics and Gynecology affiliated to Zhejiang University School of Gynaecology and Obstetrics. Results the average interval of second operation in 290 patients was 5.96 卤3.38 years. The patients with older age and higher r-AFS stage had shorter interval (P 0.05) and half radical operation or unilateral ovariectomy. There was a long interval between two operations in patients with a history of childbirth after surgery (P 0.05). The recurrent stage of adenomyosis in patients with high r-AFS stage in the first operation was significantly higher than that in the patients without adenomyosis. Among the patients with low r-AFS staging, 4.0% received postoperative short-term adjuvant drug therapy (鈮，

本文编号：2007756