腹腔镜术后特殊类型子宫肌瘤复发的相关因素和病理分析.docVIP

腹腔镜术后特殊类型子宫肌瘤复发的相关因素和病理分析 　　[摘要] 目的 探讨腹腔镜手术后特殊类型子宫肌瘤复发的相关因素，并对患者病理情况进行分析。方法 方便选择2008年1月―2015年10月该院妇科收治的因特殊类型子宫肌瘤患者行腹腔镜手术治疗，术后经病理诊断证实为特殊类型子宫肌瘤复发的患者100例为研究对象，对患者的一般情况、临床症状以及腹腔镜术前辅助超声检查结果进行分析和比较。结果 100例特殊类型子宫肌瘤患者平均年龄为（46.02±7.66）岁，46例腹腔镜术前术后诊断为特殊类型子宫肌瘤患者、12例腹腔镜术前误诊子宫腺肌症患者和42例腹腔镜术前漏诊特殊类型子宫肌瘤患者在年龄、孕次、产次、剖宫产史、人工流产、不孕症和放置宫内节育环上比较差异无统计学意义（P0.05）；100例患者腹腔镜术前B超诊断为特殊类型子宫肌瘤的符合率为50.0%；46例术前术后诊断特殊类型子宫肌瘤患者、12例腹腔镜术前误诊子宫腺肌症患者和42例腹腔镜术前漏诊特殊类型子宫肌瘤患者超声诊断符合率分别为93.8%、0%和6.3%，差异具有统计学意义（P0.05）。结论 特殊类型子宫肌瘤合并子宫腺肌症时，术后复发几率比较高，值得临床重视。 　　[关键词] 特殊类型子宫肌瘤；子宫腺肌症；复发因素；病理分析 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2016）04（c）-0004-04 　　[Abstract] Objective To discuss the relevant factor of special hysteromyoma recurrence after laporoscope operation and analyze the pathological conditions of patients. Methods 100 cases of patients with special hysteromyoma recurrence confirmed by pathological diagnosis after operation admitted and treated in the department of gynecology of our hospital from January 2008 to October 2015 were selected as the research objects and the general conditions， clinical symptoms and ultrasonicassisted examination results before laporoscope operation were analyzed and compared. Results The average age of 100 cases of patients with special hysteromyoma was （46.02±7.66） years old， and there was no obvious difference in the age， gravidity， parity， cesarean section history， artificial abortion， infertility and intrauterine device placement between the 46 cases diagnosed with special hysteromyoma before and after laporoscope operation， 12 cases misdiagnosed with adenomyosis of uterus before laporoscope operation and 42 cases with missed diagnosis of special hysteromyoma before laporoscope operation（P0.05）； the coincidence rate of 100 cases diagnosed with special hysteromyoma by B ultrasound before laporoscope operation was 50.0%； and the coincidence rates of 46 cases diagnosed with special hysteromyoma before and after operation， 12 cases of patients misdiagnosed with adenomyosis