摘要
目的 探讨卵巢巧克力囊肿腹腔镜手术剥除后复发的相关影响因素。方法 收集2009~2012年重庆市奉节县中医院妇产科收治的112例确诊为卵巢巧克力囊肿且行腹腔镜剥除术后2年患者的临床资料,按照是否复发分为复发组（34例）和未复发组（78例）,对其复发相关因素进行分析。结果 单因素分析显示术前药物治疗史、囊肿直径、ASRM评分、术后妊娠是卵巢巧克力囊肿腹腔镜手术剥除后复发的影响因素（P〈0.05）。多因素Logistic回归分析显示术前药物治疗史（OR=3.65,95%CI：1.34~7.53）、囊肿直径大（OR=1.28,95%CI：1.03~4.85）是术后复发的危险因素,术后妊娠（OR=0.34,95%CI：0.02~0.61）是术后复发的保护因素（P〈0.05）。结论 术前有药物治疗史及卵巢囊肿直径大的患者术后复发率较高,而术后妊娠可能减少复发风险。
Objective To explore the influence factors of recurrence of chocolate cyst of ovary. Methods Clinical data of 112 cases with chocolate cyst of ovary after laparoscopic operation in Fengjie TCM Hospital of Chongqing City from 2009 to 2012 were collected. All patients were divided into recurrence group（ n = 34） and non- recurrence group（ n = 78） according to whether chocolate cyst of ovary relapse. The influence factors of recurrence were analyzed. Results Univariate analyses showed that history of drug treatment,cyst diameter,ASRM score and post- operative pregnancy were the influence factors of recurrence of chocolate cyst of ovary（ P〈0. 05）. Multivariable logistic regression demonstrated that history of drug treatment（ OR = 3. 65,95 % CI： 1. 34 ~ 7. 53）,large cyst diameter（ OR = 1. 28,95 % CI： 1. 03 ~ 4. 85） were the risk factor of recurrence of chocolate cyst of ovary,while the post- operative pregnancy（ OR = 0. 34,95 % CI： 0. 02 ~ 0. 61） was the protective factor of recurrence（ P〈0. 05）. Conclusion history of drug treatment and large cyst diameter could increase the recurrence of chocolate cyst of ovary,while post- operative pregnancy might reduce the risk.
出处
《中国计划生育和妇产科》
2015年第4期43-45,共3页
Chinese Journal of Family Planning & Gynecotokology
