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

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1、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月一2015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

2、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（P>0.05）；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（P［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］Obje

3、ctiveTodiscusstherelevantfactorofspecialhysteromyomarecurreneeafterlaporoscopeoperationandanalyzethepathologicalconditionsofpatients.Methods100casesofpatientswithspecialhysteromyomarecurreneeconfirmedbypathologicaldiagnosisafteroperationadmittedandtreatedinthedepartmentofgyneco

4、logyofourhospitalfromJanuary2008toOctober2015wereselectedastheresearchobjectsandthegeneralconditions，clinicalsymptomsandultrasonicassistedexaminationresultsbeforelaporoscopeoperationwereanalyzedandcompared・ResultsTheaverageageof100casesofpatientswithspecialhysteromyomawas(46.02

5、±7.66)yearsold,andtherewasnoobviousdiffereneeintheage,gravidity,parity,cesareansectionhistory,artificialabortion，infertilityandintrauterinedeviceplacementbetweenthe46casesdiagnosedwithspecialhysteromyomabeforeandafterlaporoscopeoperation,12casesmisdiagnosedwithadenomyosisofuter

6、usbeforelaporoscopeoperationand42caseswithmisseddiagnosisofspecialhysteromyomabeforelaporoscopeoperation(P>0.05)；thecoincideneerateof100casesdiagnosedwithspecialhysteromyomabyBultrasoundbeforelaporoscopeoperationwas50.0%；andthecoincideneeratesof46casesdiagnosedwithspecialhyster

7、omyomabeforeandafteroperation,12casesofpatientsmisdiagnosedwithadenomyosisofuterusbeforelaporoscopeoperationand42caseswithmisseddiagnosisofspecialhysteromyomabeforelaporoscopeoperationwererespectively93.8%,0%and6.3%,andthedifferenceshadstatisticalsignificanee(P1资料与方法1.1一般资料方便选取

8、的100例研究对象均来源于该院在2008年1月一2015年10月重庆北斗医院妇科收治的因特殊类型子宫肌瘤行接