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Objective To investigate the myomectomy recurrence risk factors, in order to reduce fibroid recurrence. Methods A retrospective study from January 1, 2002 to 2006, 31 uterine fibroids the first surgical indications row myomectomy and follow-up of the clinical data of 264 patients, records their nation, surgery age, height, weight, menstruation, contraception, the results of preoperative B-mode ultrasound, surgical approach, the size and number of fibroids intraoperative findings, postoperative pathology; follow-up record general review of these patients after surgery case (postoperative contraception ways, height and weight, whether related follow-up treatment, if there is a family history of uterine fibroids, whether found fibroid recurrence); recorded recurrence (from the surgery time recurrence of uterine fibroids, uterine The size and number of fibroids) as well as re-treatment situations; calculated fibroid recurrence rate; univariate and multivariate analysis with fibroids recurrence may be relevant factors. 264 cases a mean follow-up of 42.20 ± 16.23 months, recurrence of 84 cases, the recurrence rate was 31.82%, the recurrence time from the surgery an average of 39.46 ± 13.77 months. Solitary fibroids 122 cases, 142 cases of multiple fibroids, the two groups of patients with fibroids recurrence rate (18.03% vs 43.66%) had a statistically significant difference (P = 0.000); were followed up for 48 months of the lt; patients 179 cases, 85 cases of patients with ≥ 48 months, a significant difference (P = 0.024) in patients fibroid recurrence rate (27.37% vs 41.18%); menarche age ≤ 13 years of age and 92 cases gt; 13-year-old 172 patients, two groups of patients with fibroids recurrence rate (40.22% vs 27.33%) had a statistically significant difference (P = 0.032); postoperative follow-up treatment in 21 patients with related drugs, not those used in 243 cases, two groups of patients of fibroid recurrence rate (52.38% vs 30.04%) had a statistically significant difference (P = 0.035). Further filter out the number of fibroids, the follow-up time, and age at menarche major risk factors for fibroids recurrence by multivariate analysis. The diameter of the largest myoma, fibroid degeneration whether age at the time of surgery, surgical approach, body mass index, contraception, preoperative usually menstrual cycle and the length of the menstrual period, ethnic, and family history of fibroids recurrence was no significant correlation (P gt ; 0.05). Conclusion number of fibroids, the follow-up time and age at menarche is a major risk factor for recurrence after resection of uterine fibroids. Require surgical treatment of patients with uterine fibroids, should be strictly controlled the myomectomy indications, to the patients and their families to inform recurrence and reoperation may the particular fibroids recurrence risk factors should be more cautious.
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