Correlative factors analysis of recurrence of endometriosis after conservative surgery
- VernacularTitle:子宫内膜异位症保守性手术后复发的相关因素分析
- Author:
Huajun LI
;
Jinhua LENG
;
Jinghe LANG
;
Huilan WANG
;
Zhufeng LIU
;
Dawei SUN
;
Lan ZHU
;
Xiaoman DING
;
- Publication Type:Journal Article
- Keywords:
Endometriosis;
Gynecologic surgical procedures;
Recurrence relative factors
- From:
Chinese Journal of Obstetrics and Gynecology
2001;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To determine the correlative factors with recurrence of endometriosis after conservative surgery Methods A cohort study was performed on 285 patients who had a minimum of 36 months of follow up after conservative surgery for endometriosis All patients underwent clinical interview, physical examination and ultrasonography The factors measured included: age at surgery, age at onset of disease, gravidity, parity, tenderness nodule at cul de sac (yes/no), uterus mobility (movable/fixed), serum CA 125 level, type of operation (laparoscopy/laparotomy), history of operation for endometriosis (yes/no), side of endometrioma (left/right/bilateral), intraoperative revised classification American Fertility Society (r AFS) scores, post operative r AFS scores, highest post operative temperature, post operative adjuvant therapy, post operative gravidity and parity The recurrent rate and its predictive factors were evaluated and the univariate, multivariate COX regression and Kaplan Meier analyses were performed to determine the predictive factors for recurrence of endometriosis Results The related factors and their odds ratio( OR ) by univariate analysis were as follows: history of endometriosis surgery, 13 630( P
