Ⅲ~Ⅳ期子宫内膜异位症患者保守性手术回顾性分析.docVIP

Ⅲ~Ⅳ期子宫内膜异位症患者保守性手术回顾性分析【摘要】 目的 探讨Ⅲ~Ⅳ期子宫内膜异位症患者保守性手术后的复发率和相关因素。方法 回顾性分析Ⅲ~Ⅳ期均行保守性手术的子宫内膜异位症患者的临床资料,分析复发与分期、术式、术后是否用药情况的关系。结果 术后5年内累积复发率为49.25%,患者每年复发的概率相近。复发率随着子宫内膜异住症分期的增高而增加,Ⅲ、Ⅳ期患者的5年复发率分别为36.67%、59.46%,Ⅲ、Ⅳ期患者的复发率经比较差异均有统计学意义均(P0.05),说明术后用抑制卵巢分泌功能的药物与减少复发有一定的关系;开腹手术和腹腔镜手术与子宫内膜异位症复发率48.28%和50%,两者比较无统计学差异(P0.05)。结论 盆腔子宫内膜异位症是一种容易复发的进行性疾病,Ⅲ~Ⅳ期子宫内膜异位症患者保守性手术后的复发率高,术后用抑制卵巢分泌功能的药物可以降低其复发率,但仍可高达50%,其治疗应尽可能依据患者年龄、子宫内膜异位症的分期等选择更适宜的个体化的治疗方案。 【关键词】子宫内膜异位症;保守性手术;复发 Retrospective analysis of Stage Ⅲ~Ⅳ Endometriosis conservative surgery in patients LIU Yu,MING Bo wang,XIANG Dong wang.Donghua Hosipital,Zhongsan University,Dongguan 523000,China 【Abstract】 Objective To explore a stage Ⅲ~Ⅳendometriosis after conservative surgery in patients with recurrence rates and related factors.Methods Retrospective analysis of stage Ⅲ Ⅳ underwent conservative surgery for endometriosis in patients with clinical data,analysis and staging of recurrence,mode of operation,postoperative whether the relationship between drug use.Results After 5 years the cumulative recurrence rate was 49.25%,the probability of recurrence of similar patient per year.Recurrence rate of patients with endometrial different stages of the higher living increase,Ⅲ,Ⅳ patients with 5 year recurrence rates were 36.67%,59.46%,Ⅲ,Ⅳ patients with the relapse rate by the difference between was significant both P0.05),note after suppression of ovarian secretory function of using drugs and reduce the recurrence a certain degree of relationship; open surgery and laparoscopic surgery and endometriosis recurrence rate was 48.28%and 50%,in comparison with no significant difference(P0.05).Conclusion The pelvic endometriosis is a chronic relapsing progressive disease,Ⅲ Ⅳ stage of endometriosis after conservative surgery in patients with high recurrence rate after ovarian suppression by drugs that can reduce the secretory function and the recurrence rate,but still as high as 50%,its treatment should be as far as possible based on