卵巢子宫内膜异位囊肿复发65例病例分析被引量：4

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摘要目的分析卵巢子宫内膜异位囊肿再次复发并手术的相关因素。方法回顾性分析了2011年12月-2014年4月期间因卵巢子宫内膜异位囊肿术后复发,在福建省妇幼保健院住院再次手术治疗的共65例患者,采用χ～2检验以及独立样本t检验方法,对复发病例年龄、复发部位、合并子宫腺肌病、术后生育及用药对复发影响及再次手术前用药等情况进行分析。结果复发年龄中30～40岁所占比例最高,原始病变部位不影响再次复发部位,但复发时左侧和双侧卵巢病变者占大多数。同时合并腺肌病患者平均年龄增加,CA125值增高更明显,第1次术后生育能延缓复发年限,术后服用药物一段时间没有延缓复发时间。复发手术前用药能缩短手术时间、减少术中出血。结论卵巢子宫内膜异位囊肿多于30～40岁复发,再发多见于左侧和双侧卵巢,随着年龄增大,复发者可同时合并子宫腺肌病,并伴随CA125明显增高,术后尽快生育能缓解病情,术后可考虑延长药物治疗时间,如果预计手术难度大,可考虑术前服药减少手术难度。

作者李华陈丽陈丹黄欣欣姜隽楹陈莎莉吴伟芳

机构地区福建省妇幼保健院

出处《中国妇幼保健》 CAS 2016年第14期2815-2816,共2页 Maternal and Child Health Care of China

关键词卵巢子宫内膜异位囊肿复发相关因素手术情况子宫肌腺症

分类号 R711.75 [医药卫生—妇产科学]

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