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| The risk factors analysis of hysteromyoma residual recurrence of women after myomectomy |
| Hengdian Wenrong Hospital, Dongyang City, Zhejiang Province, 322118 |
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Abstract Objective: To analyze the risk factors of hysteromyoma residual recurrence of women after hysteromyomectomy. Methods: The clinical data of 397 women after hysteromyomectomy from March 2010 to March 2018 were collected and analyzed retrospectively. The rates of hysteromyoma residual and recurrence were compared among women with different clinical situation, different characteristics, and different surgical methods. Multivariate regression analysis was used for evaluated the risk affect factors of postoperative hysteromyoma residual recurrence. Results: Of the 397 patients, 30 (7.6%) had postoperative hysteromyoma residual and 243 (61.2%) had recurrence of hysteromyoma. Logistic multivariate regression analysis showed that the number of fibroids ≥4 was an independent risk factor for postoperative fibroid residue. Age ≥35 years old, age of menarche less than 13 years old, number of hysteromyoma ≥4, and intermural hysteromyoma were independent risk factors for postoperative recurrence of hysteromyoma. Conclusion: The influencing factors of residual recurrence after hysteromyomectomy include the number of fibroids, age, age of menarche, type of fibroids, etc. The women with high-risk of hysteromyoma residual and recurrence should be paid attention to identification in clinical practice, and the appropriate intervention measures should be implementation.
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