A Analysis On The Situation And Risk Factors Of Recurrence Of Uterine Myoma After Myomectomy

Objective: Uterine myoma is one kind of the most common benign tumor of female genital organ, which always occurs in women of childbearing age. And the morbidity increases year by year. This disease is seriously hazardous to women' health. Treating uterine myoma by Chinese medicince or Western medicine drug all gets good effects, but the treatment of medicine cannot be completely cure the uterine myoma for all. Surgery is still the main treatment for some patients who have no significant effects for medicine. As the quality of people' s life improves and the technique of minimally invasive develops, more and more patients who want to retain uterus will choose the Myomectomy. According to the litrature, recurrent rate of myomectomy is high. It thinks that people have some factors which may cause uterine myoma growth, or left small uterine myoma in surgery. This research is according to surveying the situation of the patients underwent myomectomy and the recurrent rate, analyze the risk factors of recurrence of uterine myoma after myomectomy, and find the differences of the recurrent rate and the risk factors between the two different types of Traditional Chinese Medicine of the patients underwent myomectomy.Methqds:82 cases underwent myomectomy in the Guangzhou University of Traditional Chinese Medicine Hospital form Jan 1,2000 to Dce 31,2005 were analyzed with retrospective study. According to differentiation for syndrome classification, divide the cases into two groups (liver-qi stagnation and blood stasis, kidney deficiency and blood stasis) to compare.Results: 19 cases were recurrent. The recurrent rate was 23.17%. The average time of recurrence was 32. 68 months after myomectomy. The average number of uterine myoma found by ultrasonography was 1. 82(1-6), and found the cases of single myoma was 44(53. 66%), and which of multiple myoma was 38(46. 34%). The average number of uterine myoma found by Myomectomy was 2. 83 (1-43), and found that the cases of multiple myoma was 44(53. 66%), which were more than that found by ultrasonography. The average diameter of the biggest myoma was 5.63cm (1. 00cm-15. 00cm). pregnancy history, the site and the size of myoma, pathology or treatment did not affect the recurrent rate. (P>0.05)Conclusion: (1) This research finds that the recurrent rate of uterine myoma after myomectomy was 23.17%. The average time of recurrence was 32. 68 months after myomectomy. These datas are in the range with the literature. The recurrent rates of two types of Traditional Chinese Medicine of the patients underwent myomectomy were no significant differences.(2) This research finds that the average number of uterine myoma found by ultrasonography was 1.82, and the average number of uterine myoma found by Myomectomy was 2. 83. It thinks that some patients may have some small myoma which can not find by ultrasonography.(3) Age and the numbers of myoma is the factors which may affect the recurrent rate. The factors of less than 40 years old and multiple myoma are the risk factors of recurrence of uterine myoma after myomectomy.(4) The factors , such as age, pregnancy history, the site and the size of myoma, pathology or treatment did not affect the recurrent rate. (P>0. 05)...