摘要
目的 探讨子宫肌瘤剔除术后患者的肌瘤特征及中医体质与复发的相关性。方法 回顾性研究分析2019年1月1日至2021年5月1日于中日友好医院妇产科收治的经病理明确的488例子宫肌瘤患者病历资料,对其患者基本信息、肌瘤特征、手术信息及病理类型特征进行收集及总结分析;采用门诊随诊、电话或网络方式进行随访,随访截止时间为2021年12月1日,根据《中医体质分类与判定表》进行中医体质问卷调查,判断患者术后体质类型,采用非条件logistic回归模型进行单因素及多因素分析子宫肌瘤术后复发的危险因素。结果 中医体质类型中气郁质、瘀血质是复发的独立危险因素;肌瘤特征中肌瘤个数是复发的独立危险因素。结论 子宫肌瘤剔除术后复发与患者气郁质、瘀血质及肌瘤个数密切相关。
Objective To investigate the correlation between TCM constitution and recurrence in patients after myomectomy.Methods A total of 488 patients with pathologically confirmed uterine fibroids admitted to the Department of Gynecology,China-Japan Friendship Hospital from January 1,2019 to May 1,2021 were retrospectively analyzed,and their basic information,fibroid characteristics,surgical information and pathological type characteristics were summarized and analyzed;outpatient follow-up,telephone or network methods were used for follow-up,and the follow-up deadline was December 1,2021.A TCM constitution questionnaire survey was conducted according to the"TCM Constitution Classification and Determination Form"to determine the postoperative constitution type of the patients,and an unconditional logistic regression model was used to analyze the risk factors of postoperative recurrence of uterine fibroids.Results Qi stagnation and blood stasis are independent risk factors for recurrence in TCM constitution types;the number of fibroids in fibroid characteristics is an independent risk factor for recurrence.Conclusion Recurrence after myomectomy is closely related to qi stagnation,blood stasis and the number of fibroids of patients.
作者
董雨潇
冯慰慰
冯定庆
凌斌
Dong Yuxiao;Feng Weiwei;Feng Dingqing;Ling Bin(Graduate School,Beijing University of Chinese Medicine,Beijing 100105,China)
出处
《中国临床保健杂志》
CAS
2023年第2期265-269,共5页
Chinese Journal of Clinical Healthcare
基金
首都卫生发展科研专项(首发2022-2-4063)
中日友好医院院助项目(2019-2-MS-2)。
关键词
子宫肌瘤切除术
复发
中医体质类型
危险因素
回顾性研究
Uterine myomectomy
Recurrence
Constitutional type(TCM)
Risk factors
Retrospective studies
